EXCERPT FROM CATALOG ENT LARYNGOLOGY

Transcription

1 EXCERPT FROM CATALOG ENT LARYNGOLOGY 9th EDITION /2013

2 All pictures, photos and product descriptions are the intellectual property of KARL STORZ SE & Co. KG. Utilisation and copies by third parties have to be authorized. All rights reserved. 5-13

3 Table of Contents LARYNGOSCOPY, TRACHEOSCOPY CCD Video Rhino-Laryngoscope for use with IMAGE1, TELECAM SL II, TELECAM DX II, TELE PACK and TELE PACK X TELE PACK X The Mobile Compact Solution Documentation Terminal for Video Rhino-Laryngoscope 510 Laryngo-Fiberscopes 511 Laryngo-Fiberscopes Overview Additional Accessories for Laryngo-Fiberscopes 514 KARL STORZ PULSAR 515 KARL STORZ Stroboscope PULSAR II KARL STORZ µ-pulsar HOPKINS Telescopes for Laryngo-Pharyngoscopy Rigid Endoscopy associated with Microlaryngeal Surgery (REMS) Prof. ANDREA and Prof. DIAS 522 HOPKINS II Telescopes for Rigid Endoscopy associated with Microlaryngeal Surgery (REMS), Prof. ANDREA and Prof. DIAS 523 Accessories for HOPKINS Telescopes 524 White Light Endoscopy (Microlaryngoscopy) vs. Autofluorescence 525 HOPKINS Telescopes for Autofluorescence/Photodynamic Diagnosis (PDD) during Direct Laryngo-Pharyngoscopy 526 HOPKINS Telescopes for Autofluorescence/Photodynamic Diagnosis (PDD) during Indirect Laryngo-Pharyngoscopy 527 HOPKINS Telescopes for ICG angiography 528 HAVAS Operating Laryngoscope 529 HAVAS Operating Laryngoscope Accessories 530 HAVAS LaryngoFIT Instruments Accessories 531 Video-Laryngoscopy 532 KANTOR-BERCI Video-Laryngoscopes Model IV 533 KLEINSASSER Instruments 534 Original KLEINSASSER Operating Laryngoscopes KLEINSASSER Operating Laryngoscopes modified by RUDERT 537 Triangle Anterior Commissure Laryngoscopes 538 DEDO Operating Laryngoscope 539 STEINER Distending Operating Laryngoscopes for Transoral LASER Microsurgery 540 STEINER Distending Operating Laryngoscope and Oropharyngoscope for Transoral LASER Microsurgery 541 STEINER Operating Laryngoscopes for Transoral LASER Microsurgery with integrated channel to remove vapor 542 WEERDA Distending Operating Laryngoscopes 543 WEERDA Distending Video Operating Laryngoscope 544 Original LINDHOLM and BENJAMIN-LINDHOLM Operating Laryngoscopes 545 Original BENJAMIN and BENJAMIN-PARSONS Slimline Operating Laryngoscopes and Subglottiscopes 546 Original PARSONS Adult Operating Laryngoscopes 547 Original PARSONS Pediatric Laryngoscopes with Proximal Ilumination 548 Original BENJAMIN and BENJAMIN-PARSONS Pediatric Operating Laryngoscope 549 Pediatric Laryngoscopes with Proximal Illumination 550 HOLINGER Laryngoscope, LEWY Laryngoscope Holder 551 Laryngoscope Holders for Operating Laryngoscopes 552 Chest Support for Laryngoscope Holders LaryngoFIT Instruments completely detachable LaryngoFIT Instruments Accessories 558 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery KLEINSASSER LASER Additional Instruments modified by SHAPSHAY/HEALY for Laryngoscopy during Micro Spot LASER Treatment , 587 KLEINSASSER LASER Additional Instruments modified by RUDERT for Laryngoscopy during CO 2 LASER Treatment 567 Instruments for Endolaryngeal Microsurgery , 585 Original STEINER lnstruments for Transoral LASER Microsurgery I

4 Table of Contents LARYNGOSCOPY, TRACHEOSCOPY Pediatric lnstruments for Endolaryngeal Microsurgery WENDLER Needle Holder for Endolaryngeal Microsurgery 577 FEHLAND Needle Holder for Endolaryngeal Microsurgery 578 FEHLAND-NAWKA and KLEINSASSER Needle Holder for Endolaryngeal Microsurgery 579 Distending Forceps, LASER Application Instrument for Endolaryngeal Microsurgery 580 WOO/SHAPSHAY/OSSOFF Microsurgical Instruments for Phonosurgery Original KLEINSASSER lnstruments for Endolaryngeal Microsurgery Additional Instruments for Endolaryngeal Microsurgery 586 PERETTI High Pressure Syringe for Fat Injection 588 High Pressure Syringe for Viscous Fluid Injection, for Larynx 589 Bipolar Forceps Accessories for High Frequency Surgical Units 592 Full Lumen Operating Tracheoscope 593 Dilation Tracheoscopes GRONINGEN Model II

5 Index LARYNGOSCOPY, TRACHEOSCOPY AUTHOR INDEX: ANDREA and DIAS HOPKINS II Telescopes for Rigid Endoscopy associated with Microlaryngeal Surgery (REMS) BENJAMIN Operating Laryngoscope 549 Injection Cannula 546 Slimline Operating Laryngoscope and Subglottiscope 546 Slimline Tele-Laryngoscope 521 Slotted Laryngoscope 550 Tele-Laryngoscope 521 BENJAMIN-LINDHOLM Operating Laryngoscope 545 BENJAMIN-PARSONS Laryngoscope Holder and Chest Support 548, 550, 552 Operating Laryngoscope 549 Slimline Operating Laryngoscope and Subglottiscope 546 Super-Slimline Operating Laryngoscope and Subglottiscope 546 DEDO Operating Laryngoscope 539 FEHLAND Needle Holder 578 FEHLAND-NAWKA Needle Holder 579 HAVAS Light Carrier 530 Operating Laryngoscope 529 LaryngoFIT Forceps Attachment 531 LaryngoFIT Grasping Forceps Attachment 531 LaryngoFIT Scissors Attachment 531 HOLINGER Anterior Commissure Laryngoscope 551 HOLINGER-TUCKER Anterior Commissure Laryngoscope 550 JOUSSEN Larynx Cannula 589 KANTOR-BERCI Video-Laryngoscope 533 KLEINSASSER Artery Forceps 561 Forceps 559, 560, 567, 569, 574 Grasping Forceps 561, 575 Handle 583, 586, 587 Hook 583 Injection Needle 584 KLEINSASSER Insulated Cannula 585 Knife 583 Knot Tier 583 Laryngoscope 537 Ligature Needle 583 Miniature Forceps 560 Miniature Grasping Forceps 562 Miniature Scissors 564 Needle Holder 579 Operating Laryngoscope 536 Scissors 534, 563, 575 Spoon Forceps 534 Suction and Coagulation Cannula 585 Suction Raspatory 583 Suction Tube 534, 576, 584 LaryngoFIT Alligator Forceps Attachment 557 LaryngoFIT Forceps Attachment 557 LaryngoFIT Scissors Attachment 557 LEWY Laryngoscope Holder and Chest Support 551 LINDHOLM Forceps 580 Operating Laryngoscope 545 PARSONS Laryngoscope 548 Operating Laryngoscope 547 PERETTI High Pressure Syringe 588 Injection Needle 585 RUDERT Anterior Commissure Laryngoscope 538 SHAPSHAY-PERETTI Micro Grasping Forceps 566 STEINER Distending Operating Laryngoscope 540, 541 Distending Operating Oropharyngoscope 541 Operating Laryngoscope 542 Recommended Set: Original lnstruments for Transoral LASER Microsurgery 570 WEERDA Distending Operating Laryngoscope 543 Distending Video Operating Laryngoscope 544 WENDLER Needle Holder 577 WOO/SHAPSHAY/OSSOFF Recommended Set: Microsurgical Instruments for Phonosurgery III

6 Index LARYNGOSCOPY, TRACHEOSCOPY A Adaptor 542, 593, 595 B BENJAMIN Injection Cannula 546 BENJAMIN-LINDHOLM Operating Laryngoscope 545 BENJAMIN Operating Laryngoscope 549 BENJAMIN-PARSONS Laryngoscope Holder and Chest Support 548, 550, 552 BENJAMIN-PARSONS Operating Laryngoscope 549 BENJAMIN-PARSONS Slimline Operating Laryngoscope and Subglottiscope 546 BENJAMIN-PARSONS Super-Slimline Operating Laryngoscope and Subglottiscope 546 BENJAMIN Slimline Operating Laryngoscope and Subglottiscope 546 BENJAMIN Slimline Tele-Laryngoscope 521 BENJAMIN Slotted Laryngoscope 550 BENJAMIN Tele-Laryngoscope 521 Biopsy Forceps 513, 514 Bipolar Coagulation Electrode 585 Bipolar Forceps 591 Bipolar Suction Forceps 591 C Case 509, 512, 513 CCD Video Rhino-Laryngoscope 509 Chest Support, LÜBECK model 554 Cleaning Brush 513 Clip 536, 540, 542, 546, 547, 573 Coagulation Ball Electrode 592 Coagulation Suction Tube 572 Cotton Applicator 583 Curette 582 Cutting Electrode 592 D DEDO Operating Laryngoscope 539 Dissector 581 E Elevator 582, 586 Extension 552 F FEHLAND-NAWKA Needle Holder 579 FEHLAND Needle Holder 578 Fiber Optic Light Cable 524 Fiber Optic Light Carrier 536, 537, 538, 539, 543, 545, 549 Fluid Light Cable 524, 526, 527 FLUVOG Adaptor 593, 595 Forceps 568, 593 Full Lumen Operating Tracheoscope 593 G Glass Window Plug 593 Grasping Forceps 513, 514, 573, 576 H Handle 520, 521, 527 HAVAS Light Carrier 530 HAVAS Operating Laryngoscope 529 High Pressure Syringe 589 HOLINGER Anterior Commissure Laryngoscope 551 HOLINGER-TUCKER Anterior Commissure Laryngoscope 550 Hook HOPKINS Straight Forward Telescope 0 526, 528 HOPKINS Straight Forward Telescope , 544 HOPKINS II Forward-Oblique Telescope , 526, 595 HOPKINS II Lateral Telescope , 526 HOPKINS II Straight Forward Telescope 0 523, 526, 595 I IMAGE1 Video Endoscope Adaptor 509 Injection Cannula 536, 543, 545, 576, 589, 593 Instrument Guide 593 Instrument Rack 558 Insulated Suction Tube 592 J JOUSSEN Larynx Cannula 589 K KANTOR-BERCI Video-Laryngoscope 533 KARL STORZ µ-pulsar 519 KLEINSASSER Artery Forceps 561 KLEINSASSER Forceps 559, 560, 567, 569, 574 KLEINSASSER Grasping Forceps 561, 575 KLEINSASSER Handle 583, 586, 587 KLEINSASSER Hook 583 KLEINSASSER Injection Needle 584 KLEINSASSER Insulated Cannula 585 KLEINSASSER Knife 583 KLEINSASSER Knot Tier 583 KLEINSASSER Laryngoscope 537 KLEINSASSER Ligature Needle 583 KLEINSASSER Miniature Forceps 560 KLEINSASSER Miniature Grasping Forceps 562 KLEINSASSER Miniature Scissors 564 KLEINSASSER Needle Holder 579 KLEINSASSER Operating Laryngoscope 536 KLEINSASSER Scissors 534, 563, 575 KLEINSASSER Spoon Forceps 534 KLEINSASSER Suction and Coagulation Cannula 585 KLEINSASSER Suction Raspatory 583 KLEINSASSER Suction Tube 534, 576, 584 Knife 586 IV

7 Index LARYNGOSCOPY, TRACHEOSCOPY L Lancet Knife 581 Laryngeal Probe 586 LaryngoFIT HAVAS Forceps Attachment 531 LaryngoFIT HAVAS Grasping Forceps Attachment 531 LaryngoFIT HAVAS Scissors Attachment 531 LaryngoFIT KLEINSASSER Alligator Forceps Attachment 557 LaryngoFIT KLEINSASSER Forceps Attachment 557 LaryngoFIT KLEINSASSER Scissors Attachment 557 LARYNGOFORCE II Clip Forceps 573 LARYNGOFORCE II Grasping Forceps 570, 571 LARYNGOFORCE II Scissors for Large Tumors 569 Laryngoscope Handle 551 Laryngoscope Holder and Chest Support, GÖTTINGEN model 540, 550, 552 Leakage Tester 509, 512, 513, 514 LEWY Laryngoscope Holder and Chest Support 551 LINDHOLM Forceps 580 LINDHOLM Operating Laryngoscope 545 M Metal Handle 531, 557 Metal Teeth Protector 585 Micro Alligator Forceps 566 Micro Forceps 565 Micro Grasping Forceps 565, 566, 575 Micro Scissors 566 Miniature Grasping Forceps 562 Mouthpiece 512, 513 N Needle 581 O Optical Dilation Tracheoscope 595 Optical Intubation Tracheoscope 595 P PARSONS Laryngoscope 548 PARSONS Operating Laryngoscope 547 PERETTI High Pressure Syringe 588 PERETTI Injection Needle 585 Pressure Compensation Cap 509, 512, 513, 514 Prismatic Light Deflector 548, 550, 593, 595 Probe 587 Protector 572 PULSAR II Stroboscope Set 517 R Rhino-Laryngo-Fiberscope 512 Rhino-Laryngo-Tracheo-Fiberscope 512 Rhino-Pharyngo-Laryngo-Fiberscope 512 Round Knife 581 Rubber Telescope Guide 593 RUDERT Anterior Commissure Laryngoscope 538 S SHAPSHAY-PERETTI Micro Grasping Forceps 566 Sickle Knife 581 Slotted Laryngoscope 550 Spoon Forceps 567, 568, 576 STEINER Distending Operating Laryngoscope 540, 541 STEINER Distending Operating Oropharyngoscope 541 STEINER Operating Laryngoscope 542 Strobo-Laryngoscope 521 Suction Elevator 582 Suction Tube 572, 587 Suction Tube, to remove vapor 536, 537, 538, 539, 542, 543, 545, 549 Support Table 553 T Teeth Protector, metal 585 Teeth Protector, silicone 585 Tele-Laryngo-Pharyngoscope 520, 527 Tele-Laryngoscope 527 TELE PACK X 510 Telescope Protective Sheath 530 U ULTRA STOP Antifog Solution 524 Universal Handle 582 V Video Connecting Cable 509 Video Endoscope Adaptor 509 W WEERDA Distending Operating Laryngoscope 543 WEERDA Distending Video Operating Laryngoscope 544 WENDLER Needle Holder 577 Wire Tray for Cleaning, Sterilization and Storage 558 V

8 Numerical Index LARYNGOSCOPY, TRACHEOSCOPY AA BA FA 548, 550, 593, JA JUA BM BN P 593, LR G K S R S T HL KL D RD SL 513, UD SS 513, KA 513, KB 513, E 509, 512, 513, RP SK SP VN VP XL 509, 512, 513, , B C D EN SK 576, SL SM T AK B BB 512, RR 512, VC XF XFB V FO FP 524, 526, FR NA NL AC 536, 540, 542, 546, HC HCS , B C D E G GY GZ J JB JH 537, JK 537, JP KT KW 548, LF 537, LG 537, LM 537, LN 537, SL SLS SSL AV 533, K 540, KC KT KW L QS RA RB RC RD V A AA B C D E B H S A AA GF K KK M MK N P PF 545, PM 545, A B BV C GF GP K M MP B C A AL B BL C CL DL DN GF HF J JA JL JV K KC KL L LL M N TV A AJ AK AL AM AV AZ B BK BL BM BV BZ C CJ CK CM 560 VI

9 Numerical Index LARYNGOSCOPY, TRACHEOSCOPY 8591 CV CZ D DJ DK DM DV DZ EA EM FA FM MK P PL RL SL T TL U V W A A AK AM AZ B BM BZ C CM CZ E EM EZ G GK GM H HK HM A AJ AK AM AV AZ B BB BM BV BZ C CJ CK CM CV CZ D DJ DK DM DV DZ E TA A B C D E F A B C D E F H P R T W WJ WK , 586, A B D KS KV 534, A KS KV 534, A E N P D E F K A AS B A C K A B C D E F G J L LS N R S VL VR H A B C D FL FR AK H L N W AN CN DN EN M N P D E F FL G GL H HL AH BH CH L R T AN DN A B C D A B 565 VII

10 Numerical Index LARYNGOSCOPY, TRACHEOSCOPY 8683 C D G H A B C D A A A B C A B C A B CKA CP DKA H 520, 521, CKA CA DA DP AGA AP AGA AP AA AP BA BP CA CP AA A B AZ AZ GHZ AZ A B C A 539 VIII

11 LARYNGOSCOPY TRACHEOSCOPY

12 CCD Video Rhino-Laryngoscope for use with IMAGE1, TELECAM SL II, TELECAM DX II, TELE PACK and TELE PACK X Special Features: Large viewing angle and movable distal tip facilitates orientation Waterproof, fully immersible for cleaning and disinfection Sterilizable with EtO-Gas, Sterrad 100S and Steris System 1/System 1E Excellent optical quality of both lens system and video chip Superior life span due to robust mechanical design Sensitive and stable control via ergonomic handle Short insertion tip with smooth-running and non-twisting angle mechanism Optimally matched, non-rotational insertion sheath LA-FIB

13 CCD Video Rhino-Laryngoscope for use with IMAGE1, TELECAM SL II, TELECAM DX II, TELE PACK and TELE PACK X VP/VN VP CCD Video Rhino-Laryngoscope, PAL, for use with IMAGE1, TELECAM SL II, TELECAM DX II, TELE PACK and TELE PACK X Direction of view: 0 Angle of view: 85 Deflection up/down: 140 /140 Working length: 30 cm Outer diameter: 3.7 mm VN Same, color system NTSC Following accessories are included: VC Case XL Leakage Tester, with bulb and manometer E Pressure Compensation Cap, for ventilation during gas sterilization Note: The video connecting cables are not included in the set and must be ordered separately! Video Endoscope Adaptor, color systems PAL/NTSC, length 90 cm, for use with GI CCU and IMAGE or IMAGE1 Video Endoscope Adaptor, color system NTSC, length 90 cm, for use with all KARL STORZ video endoscopes Video Connecting Cable, for all KARL STORZ video endoscopes and TELECAM SL II, TELECAM DX II, TELE PACK or TELE PACK X, length 60 cm LA-FIB 1 B 509

14 TELE PACK X The Mobile Compact Solution Documentation Terminal for Video Rhino-Laryngoscope TELE PACK X is a compact, portable and flexible system that can be used for a wide range of applications from the doctor s office through to the emergency room. To enable swift and easy work, TELE PACK X combines all that is needed: monitor, camera and light source. Consideration has also been given to documentation: Integrated data management enables comprehensive recording of medical examinations or surgical interventions. Multiple USB ports and an SD card slot are available to store the data. Crystal clear display 15" LCD display Image rotation 24-bit color intensity for natural color rendition DVI-D video output for connecting HD monitors Flexible storage possibilities SD card slot for high storage capacity USB ports for external hard drives, USB flash drives and post-script printers Picture gallery for records Playback of saved videos Print-ready patient report documentation Natural illumination HiLux 50 Watt high-performance light source Natural colour rendition close to daylight with a color temperature of 5700 K Up to 1000 hours lamp operating time Easy control combined with highest safety Membrane keyboard for wipe-down disinfection Hot keys for rapid and direct adjustment Arrow keys for intuitive control Connection socket for pedal control Additional information Sturdy, portable housing Ergonomically designed handle for convenient transport Universal power supply unit: VAC, 50/60 Hz Dimensions (w x h x d): 450 x 350 x 150 mm Weight: 7 kg EN TELE PACK X endoscopic video unit for use with TELECAM one-chip camera heads and video endoscopes, incl. 50 W HiLux light source, 15" LCD TFT screen, USB/SD memory module, color systems PAL/NTSC, with integrated Image Processing Module, power supply VAC, 50/60 Hz including: EN USB Silicone Keyboard, with touchpad, US character set USB Flash Drive, 4 GB Mains Cord Mains Cord, US version 8-11 Technical information see catalog TELEPRESENCE Components/Spare Parts see chapter LA-FIB 2 D

15 Laryngo-Fiberscopes Special Features: Large viewing angle and movable distal tip for better orientation Waterproof, fully immersible for cleaning and disinfection Simple leakage test takes only a few minutes and requires no additional accessories. Sterilizable with EtO-Gas, Steris and Sterrad Exceptional optical quality of both lens and fiber optic image transmission bundle Resistant construction and robust mechanical components ensure long life of the instrument LA-FIB 3 A 511

16 Laryngo-Fiberscopes Overview Laryngo-Fiberscopes Order No. Deflection Direction of View Angle of View 3.5 x 340 mm RD x 230 mm UD x 300 mm RP x 270 mm SK x 370 mm SP Accessories included: BB Case RR Case E Pressure Compensation Cap, for ventilation during gas sterilization XL Leakage Tester, with bulb and manometer Mouthpiece LA-FIB 4

17 Accessories (included) Working Length Working Channel Inner Diameter Distal End Outer Diameter Case Pressure Compensation Cap Leakage Tester Mouth Piece Cleaning Brush Biopsy Forceps Grasping Forceps 34 cm 1.5 mm 3.5 mm BB E XL AK KA KB 23 cm 2.3 mm 5.2 mm RR E XL B SL SS 30 cm 3.5 mm RR E XL 27 cm 2.5 mm RR E XL 37 cm 2.5 mm RR E XL Accessories included: AK Cleaning Brush, round, flexible, outer diameter 2 mm, for working channel diameter mm, length 75 cm B Cleaning Brush, flexible, for working channel diameter mm, length 100 cm KA Biopsy Forceps, flexible, double action jaws, oval, diameter 1 mm, length 60 cm SL Biopsy Forceps, flexible, double action jaws, oval, 5 Fr., length 60 cm KB Grasping Forceps, flexible, double action jaws, diameter 1 mm, length 60 cm SS Grasping Forceps, flexible, double action jaws, diameter 1.7 mm, length 60 cm LA-FIB 5 513

18 Additional Accessories for Laryngo-Fiberscopes SL SS KA/KB Forceps, Grasping and Biopsy, flexible for Laryngo-Fiberscopes: Distal Tip Order No. Article Description Diameter Length KA SL KB SS Biopsy Forceps, double action jaws, oval Grasping Forceps, double action jaws 1 mm 60 cm 1.7 mm 60 cm 1 mm 60 cm 1.7 mm 60 cm XL Leakage Tester, with bulb and manometer E Pressure Compensation Cap, for ventilation during gas sterilization E XL LA-FIB-ACC 2

19 KARL STORZ PULSAR To freeze the moment 3-07 LA-TEL 1 E 515

20 KARL STORZ Stroboscope PULSAR II n With its high-performance LED, the stroboscope PULSAR II generates light for convenient stroboscopy. The frequency of the pulsating light can also be set to continuous light so that it can be used as a position light. Convenient image documentation involves connecting a camera head to the respective telescope in conjunction with the KARL STORZ documentation system. The system offers the following features and benefits: Compact unit and footswitch design Low energy consumption and no lamp change required thanks to cutting-edge LED technology No difference between strobe and continuous light in terms of brightniess and color temperature Powerful flash even with thin and flexible endoscopes No noise generation Lightweight Text overlay on video image possible Display in musical notation LA-TEL 2 F

21 KARL STORZ Stroboscope PULSAR II n System components included: LED light source with integrated microphone: In a microphone integrated in the handle, the audio signal is recorded, amplified and analyzed to then synchronize the stroboscope with vocal fold vibration. Contact microphone: Alternatively, the contact microphone can be used to perform the functions described above. Footswitch: The footswitch controls phase synchronization in still image mode and slow motion function. It can also be used to control the optional documentation unit. Additionally available system components Camera Control Unit (CCU) and camera heads from KARL STORZ Documentation units from KARL STORZ Audio equipment for amplification or recording KARL STORZ monitors The system components described above feature these additional functions: Automatic brightness control Text/data overlay to video image PULSAR II Stroboscope Set, power supply V, 50/60 Hz including: Mains Cord LED Stroboscopy Light Source Footswitch Contact Sound Microphone, with clip Specifications: Power Supply V, 50/60 Hz Slow motion frequency Hz Dimensions w x h x d 305 x 74 x 233 mm Phase shift Weight 2.5 kg Flash performance 3.5 Ws Certified to IEC 601-1, CE acc. to MDD Protection class I Power Input 20 VA Operating Temperature Flash light energy level Triggerable frequency 2.5 Ws (pulse energy) Hz Humidity Temperature Classification 5% 95% IIa Components/Spare Parts see chapter 16 LA-TEL 3 F 517

22 KARL STORZ µ-pulsar Striking detail With the sensationally handy µ-pulsar, the smallest miniature stroboscopy unit in the world, KARL STORZ offers an all-in-one concept for laryngology. All-in-one because, in addition to stroboscopy, it can also be used for documentation; the features of large, cumbersome stroboscopes are complemented by the mobile version; and it s even considerably more costefficient. Image documentation can normally be carried out by connecting a camera head to the respective telescope in conjunction with the KARL STORZ TELE PACK. The system, which is based on state-of-the-art microsystem and semiconductor light source technology, can be connected directly to KARL STORZ laryngoscopes independent of the power supply. One of the most important advantages of the power system is therefore its mobility. The small, lightweight and compact KARL STORZ µ-pulsar can easily be carried in a lab coat and breast pockets or stored in any drawer. Quality/comfort: Simple, ergonomic use Lightweight (180 g) Powerful LED ensures outstanding brightness Unrestricted mobility: Compact, small, lightweight and portable Simple charging system Device locks directly onto the endoscope s light port Operative efficiency: Considerably more cost-efficient to purchase than a larger system Low energy consumption No need to change lamp LA-TEL 4 D

23 KARL STORZ µ-pulsar Special Features: Easy to operate Very good image quality Noiseless Documentation possible Robust housing Ideal for consultation work Lightweight High light intensity No separate light source required No separate light cable required Rechargeable lithium-ion batteries free from memory effect All KARL STORZ loupe laryngoscopes can be used KARL STORZ µ-pulsar, for laryngeal stroboscopy including: n Leather Bag for µ-pulsar Components/Spare Parts see chapter 16 LA-TEL 5 D 519

24 HOPKINS Telescopes for Laryngo-Pharyngoscopy Direction of View DKA 8700 H 8700 DKA Tele-Laryngo-Pharyngoscope, with integrated HOPKINS lateral telescope 90, diameter 5.8 mm, length 20 cm, autoclavable, fiber optic light transmission incorporated, color code: blue 8700 H Handle, for use with Tele-Laryngoscope 8700 CP, 8700 CKA, 8705 CKA and 8700 DKA 8707 DA 8707 DA Tele-Laryngo-Pharyngoscope, with integrated HOPKINS lateral telescope 90, 4x magnification focusing device, diameter 10 mm, length 15 cm, autoclavable, fiber optic light transmission incorporated, color code: blue Please note: For instruments for indirect laryngoscopy see pages LA-TEL 6 D

25 HOPKINS Telescopes for Laryngo-Pharyngoscopy Direction of view CKA 8700 H 8700 CKA BENJAMIN Tele-Laryngoscope, with integrated HOPKINS lateral telescope 70, angle of view 50, diameter 5.8 mm, length 19 cm, autoclavable, fiber optic light transmission incorporated, color code: yellow 8700 H Handle, for use with Tele-Laryngoscope 8700 CP, 8700 CKA, 8705 CKA and 8700 DKA 8705 CKA 8705 H 8705 CKA BENJAMIN Slimline Tele-Laryngoscope, with integrated HOPKINS lateral telescope 70, angle of view 50, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: yellow 8700 H Handle, for use with Tele-Laryngoscope 8700 CP, 8700 CKA, 8705 CKA and 8700 DKA 8706 CA CA Strobo-Laryngoscope, with integrated HOPKINS lateral telescope 70, oval sheath, 7.2 x 9.3 mm, working length 17 cm, autoclavable, fiber optic light transmission incorporated, color code: yellow Please note: For instruments for indirect laryngoscopy see pages LA-TEL 7 C 521

26 Rigid Endoscopy associated with Microlaryngeal Surgery (REMS) Prof. ANDREA and Prof. DIAS Endoscopic procedures in general, including techniques carried out in the office and microlaryngoscopy, only enable the observation of the larynx along a vertical axis. This imposes limitations on the diagnosis and physiopathological interpretation of diseases, as well as on treatment and follow-up. Research work on laryngeal microanatomy conducted by the authors reinforced the need to assess the larynx from different perspectives in order to improve the evaluation of pathological findings. This led to the systematic use of rigid endoscopes with different angles of vision (0, 30, and 70 ) during endotracheal intubation. Rigid Endoscopy associated with Microlaryngeal Surgery (REMS) significantly enhances the ability to assess the larynx and offers high quality imaging, even of regions that are traditionally difficult to explore, such as the inferior surface and free border of the vocal cords, the anterior commissure, the ventricles and the subglottis. Parameters considered important for the evaluation of premalignant and malignant lesions can be analyzed in greater detail, due to the multiperspective assessment offered by the excellent optical quality of the HOPKINS II telescopes REMS is also beneficial for the assessment of benign pathological indications of the vocal cords and for subsequent excision. REMS is easy to perform and, apart from the rigid telescopes which were specifically designed for this application, it requires no equipment other than that which is required for conventional laryngeal endoscopy. Prof. M. ANDREA, M. D. and Prof. O. DIAS, M. D., Universidade de Lisboa, Servicio de Otorhinolaringologia, Lisbon, Portugal Multiperspective assessment of a vocal cord polyp using rigid endoscopes 8712 AA/BA/CA (0, 30 and 70 ). The diameter and length of these endoscopes allow observation of all regions of the larynx with regular endotracheal intubation LA-TEL 8 D

27 HOPKINS II Telescopes for Rigid Endoscopy associated with Microlaryngeal Surgery (REMS), Prof. ANDREA and Prof. DIAS 8712 AA 8712 AA HOPKINS II Straight Forward Telescope 0º, enlarged view, diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission incorporated, color code: green 8712 BA HOPKINS II Forward-Oblique Telescope 30º, enlarged view, diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission incorporated, color code: red 8712 CA HOPKINS II Lateral Telescope 70º, enlarged view, diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission incorporated, color code: yellow 8713 AA 8713 AA HOPKINS II Straight Forward Telescope 0º, enlarged view, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: green LA-TEL 9 D 523

28 Accessories for HOPKINS Telescopes Antifog Solution B ULTRA STOP Antifog Solution, 25 ml, pipette bottle C ULTRA STOP Antifog Solution, 30 ml, sterile, pierce bottle B C D D ULTRA STOP Antifog Solution, 15 ml, atomizer bottle Fiber Optic Light Cables 495 NL Fiber Optic Light Cable, diameter 3.5 mm, length 180 cm 495 NA Same, length 230 cm Fluid Light Cables 495 FO Fluid Light Cable, diameter 3 mm, length 180 cm 495 FP Same, length 250 cm Trays for telescopes see catalog HYGINENE 524 LA-TEL 10 E

29 White Light Endoscopy (Microlaryngoscopy) vs. Autofluorescence Diagnosis: White Light Autofluorescence Keratinizing squamous cell carcinoma on the left, with moderately dysplastic ramifications towards the right vocal cord Focal squamous epithelium dysplasia of moderate degree (concomitant with epidermization and focal leucoplasia) only visible in the autofluorescence image by way of of the fluorescence reduction in the marked area (2 patients) LA-TEL 11 A 525

30 HOPKINS Telescopes for Autofluorescence/Photodynamic Diagnosis (PDD) during Direct Laryngo-Pharyngoscopy 8712 BP 8712 AP HOPKINS II Straight Forward Telescope 0, enlarged view, for autofluorescence/photodynamic diagnosis (PDD), diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: green 8712 BP HOPKINS II Forward-Oblique Telescope 30, enlarged view, for autofluorescence/photodynamic diagnosis (PDD), diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: red 8712 CP HOPKINS II Lateral Telescope 70, enlarged view, for autofluorescence/photodynamic diagnosis (PDD), diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: yellow 495 FP Fluid Light Cable, diameter 3 mm, length 250 cm 8711 AP 8711 AP HOPKINS Straight Forward Telescope 0, for autofluorescence/photodynamic diagnosis (PDD), diameter 10 mm, length 20 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: green 495 FR Fluid Light Cable, diameter 5 mm, length 250 cm 8710 AP 8710 AP HOPKINS Straight Forward Telescope 0, for autofluorescence/photodynamic diagnosis (PDD), diameter 5.8 mm, length 20 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: green FR Fluid Light Cable, diameter 5 mm, length 250 cm 526 LA-TEL 12 B

31 HOPKINS Telescopes for Autofluorescence/Photodynamic Diagnosis (PDD) during Indirect Laryngo-Pharyngoscopy 8700 CP 8700 H 8700 CP Tele-Laryngoscope, with integrated HOPKINS lateral telescope 70, for autofluorescence/photodynamic diagnosis (PDD), angle of view 50, diameter 5.8 mm, length 20 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: yellow 8700 H Handle, for use with Tele-Laryngoscope 8700 CP, 8700 CKA, 8705 CKA and 8700 DKA 8707 DP 8707 DP Tele-Laryngo-Pharyngoscope, with integrated HOPKINS lateral telescope 90, for autofluorescence/photodynamic diagnosis (PDD), 4x magnification, focusing device, autoclavable, diameter 10 mm, working length 15 cm, fiber optic light transmission and filter exchanger incorporated, color code: blue 495 FP Fluid Light Cable, diameter 3 mm, length 250 cm LA-TEL 13 B 527

32 HOPKINS Telescopes for ICG angiography n 8710 AGA 8710 AGA HOPKINS Straight Forward Telescope 0, for perfusion assessment, autofluorescence and white light diagnosis, diameter 5.8 mm, length 19 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: green 8711 AGA 8711 AGA HOPKINS Straight Forward Telescope 0, enlarged view, for perfusion assessment, autofluorescence and white light diagnosis, diameter 10 mm, length 20 cm, autoclavable, fiber optic light transmission and filter exchanger incorporated, color code: green 8-11 For further informationen and instruments for ICG angiography see chapter 13, FLUORESCENCE 528 LA-TEL 14 B

33 HAVAS Operating Laryngoscope n The HAVAS video laryngoscope from KARL STORZ is a significant step forward in endoscopic laryngeal surgery. The HAVAS operating laryngoscope comprises the following components: Video laryngoscope Integrated light carrier/telescope holder Telescopic sheath protector The laryngoscope enables an optimal visualization of the supraglottic and glottic airway. Furthermore, the angulation of the tip provides a view of areas that are difficult to see such as the anterior commissure and the anterior part of the laryngeal ventricles. The cut-out lateral ports at the proximal end of the laryngoscope enables the introduction of standard instruments or the new malleable HAVAS LaryngoFIT instruments for microsurgery. This facilitates endoscopic bimanual surgery using a monitor rather than an operating microscope. T. HAVAS MB. BS (SYD), MD. (UNSW) FRCSE FRACS FACS A/Professor Conjoint UNSW Suite 506, 1 Newland Street Bondi Junction, NSW, Australia Dimensions in mm: proximal and distal x A x B 8790 A/B 8790 A HAVAS Operating Laryngoscope, with extra light handle, large model, length 17 cm, with connector for Light Carrier 497 HC B HAVAS Operating Laryngoscope, with extra light handle, medium model, length 17 cm, with connector for Light Carrier 497 HC LA-TEL 15 B 529

34 HAVAS Operating Laryngoscope Accessories n The combination of a light carrier with integrated telescope holder facilitates the introduction of the laryngoscope with excellent illumination. The telescopic sheath protector enables the introduction of any 4 mm standard telescope (0/30/45/70/90/120 ). The telescope is inserted in the sheath and then anchored in the integrated light source/telescope holder. This enables detailed endoscopic examination of all parts of the larynx, such as the laryngeal ventricles or the anterior commissure. T. HAVAS MB. BS (SYD), MD. (UNSW) FRCSE FRACS FACS A/Professor Conjoint UNSW Suite 506, 1 Newland Street Bondi Junction, NSW, Australia 497 HC 497 HC HAVAS Light Carrier, with integrated telescope channel diameter 5 mm, for proximal illumination, for use with Laryngoscope 8790 A/B 497 HCS 497 HCS Telescope Protective Sheath, outer diameter 5 mm, length 20 cm, for use of Light Carrier 497 HC with Telescopes 7230 AA, BA, CA, DA, EA, FA LA-TEL 16

35 HAVAS LaryngoFIT Instruments Accessories n Special Features: Malleable distal end enables adjustment of the working end according to individual needs Can be completely dismantled Well-balanced handle with ergonomic design Inserts can be locked into three different positions Easy and efficient cleaning by means of a LUER connector Working Attachment for use with Metal Handle Working Length 25 cm + LaryngoFIT HAVAS Forceps, malleable 8791 AZ round cupped jaws, 2 mm, straight 8793 AZ serrated, straight 8793 GHZ serrated, triangular, straight LaryngoFIT HAVAS Scissors, malleable 8794 AZ straight 8-11 Please note: Metal Handle is not included in delivery. Please order separately. LA-TEL

36 Video-Laryngoscopy Advantages of video-laryngoscopes compared to operation microscopes: Greater depth focus No need to adjust focus The laryngoscope spatula does not restrict the field of vision The wide angle of view of the HOPKINS telescope provides a larger overview behind the distal end of the laryngoscope No surgical microscope is required The magnified image can be observed from the ideal distance Better access to the anterior commissure No operation fatigue Simplifies the work of the assistant Images can be documented immediately Ideal for training purposes Advantages: With this method the binocular operation microscope is replaced by the KARL STORZ video system. This system guarantees excellent conditions for: operating documentation teaching of microlaryngological operation techniques When connected to a video printer, this system enables high quality instant printouts to be made as a source of information for: physician referral radiologists oncologists Microscope Microscope Video-Laryngoscope Video-Laryngoscope For Video Documentation Systems and Light Sources see catalog TELEPRESENCE 532 LA

37 KANTOR-BERCI Video-Laryngoscopes Model IV 8575 AV 8575 AV HOPKINS Straight Forward Telescope 15, diameter 4 mm, length 17 cm, autoclavable, 45 angled eyepiece, fiber optic light transmission incorporated, color code: green 8590 JV 8590 TV Full size illustration: inner diameter in mm proximal and distal x JV x JV KANTOR-BERCI Video-Laryngoscope, model IV, for adults, length 18 cm, enlarged proximal opening, curved distal tip especially designed to elevate the epiglottis and for optimal placement of the anterior commissure, flattened surface of the blade prevents damage to teeth, telescope guide tube integrated inside the lumen, with adaptor for HOPKINS Telescope 8575 AV, for use with distal Fiber Optic Light Carrier 8590 GF or proximal Light Clip 497 AC, Vapor Suction Tube 8590 M and Laryngoscope Holder 8575 K or 8575 KC 8590 TV Same, for adolescents and adults, length 17 cm, for use with proximal Light Clip 497 AC and Laryngoscope Holder 8575 K or 8575 KC 8590 TV Accessories for KANTOR-BERCI Video-Laryngoscopes see page 584 LA 1 B 533

38 KLEINSASSER Instruments For use with KANTOR/BERCI Video-Laryngoscopes, Model IV Special feature of the miniature forceps with cupped jaws and scissors: Distal end with 10º upwards curve provides better access to anterior commissure 8591 BV 8591 AV KLEINSASSER Spoon Forceps, 2 mm, straight, sheath conically reinforced from distal to proximal end, distal end curved upwards 10, with cleaning connector, working length 23 cm 8591 BV Same, curved upwards CV Same, curved to right 8591 DV Same, curved to left 8594 CV 8594 AV KLEINSASSER Scissors, straight, sheath conically reinforced from distal to proximal end, distal end curved upwards 10º, with cleaning connector, working length 23 cm 8594 BV Same, curved upwards 45º 8594 CV Same, curved to right 8594 DV Same, curved to left 8602 KV 8603 KV 8602 KV KLEINSASSER Suction Tube, ball end, curved upwards, outer diameter 2 mm, working length 23 cm KV Same, outer diameter 3 mm 534 LA 2 G

39 Original KLEINSASSER Operating Laryngoscopes A complete set of laryngoscopes for adults and children are available. These laryngoscopes allow an excellent view of the laryngeal area, even under difficult anatomical conditions, such as limited oral aperture and short, thick, stiff necks. Uniform pressure distribution with reduced danger of tooth damage is provided by the flat support area of the laryngoscope against the teeth. A tooth guard to help protect the teeth and gums is also available. The laryngoscopes have smooth surfaces and are easy to clean and sterilize. The specially designed laryngoscope holder and chest support can be placed directly against the thorax without affecting respiration. Special tables and support devices are not required with this chest support. Precision, small diameter grasping and cutting instruments are available. These instruments have a thin, but very rigid sheath which allows excellent control during surgery within the laryngeal area. Placement of the chest support after introduction of the laryngoscope. Final adjustment of the laryngoscope before the beginning microlaryngoscopy LA 3 H 535

40 Original KLEINSASSER Operating Laryngoscopes Full size illustration: inner diameter in mm proximal and distal A 8590 B x C 8590 J JL 8590 A L 8590 GF HF DN L K 8590 A KLEINSASSER Operating Laryngoscope, for adults, extra large, length 17 cm 8590 B Same, large 8590 C Same, medium (most commonly used model) 8590 DN Same, small, length 18 cm (for particularly difficult anatomical circumstances) 8590 J Same, medium, length 18 cm (for anterior commissure) 8590 JL Same, medium, length 22 cm (for especially long neck) 8590 K Same, for children, small, length 15 cm 8590 L Same, for infants, small, length 13 cm 497 AC Clip, for proximal illumination 497 AC 8590 GF HF 8590 KC 8590 M N 8590 GF Fiber Optic Light Carrier, for distal illumination, working length 14 cm, for use with Laryngoscopes 8590 A JL 8590 HF Fiber Optic Light Carrier, for distal illumination, working length 7.5 cm, for use with Laryngoscopes 8590 K L 8590 KC Injection Cannula, for positive pressure assisted ventilation, working length 8.5 cm, for use with Laryngoscopes 8590 A L 8590 M Suction Tube to remove vapor, for LASER treatment, diameter 3 mm, working length 12.5 cm, for use with Laryngoscopes 8590 A JL 8590 N Suction Tube, to remove vapor, for LASER treatment, diameter 3 mm, working length 9 cm, for use with Laryngoscopes 8590 K L LA 4 H

41 KLEINSASSER Operating Laryngoscopes modified by RUDERT Special Features: Proven conical KLEINSASSER design Modified by RUDERT with right and left lateral outer channels used for smoke evacuation and/or for fiber optic light carrier Full lumen working capacity, unobstructed view, operating instruments cannot get caught Full size illustration: inner diameter in mm proximal and distal LM 8590 AL 8590 BL x JA 8590 CL 8590 JA 8574 LF DL LL KL 8590 AL KLEINSASSER Laryngoscope, extra large, modified by RUDERT for CO 2 LASER surgery, for adults, with lateral outer channels for suction tube to remove vapor and/or for fiber optic light carrier, length 17 cm 8590 BL Same, large 8590 CL Same, medium 8590 DL Same, small, length 18 cm 8590 JA Same, medium, length 18 cm, for anterior commissure 8590 KL Same, for children, length 15 cm 8590 LL Same, for infants, length 13 cm 8574 JH/LF/LG 8574 JH Fiber Optic Light Carrier, for distal illumination, length 12 cm, for use with Laryngoscopes 8574 J/JP and 8590 LL 8574 LF Same, length 16 cm, for use with Laryngoscopes 8590 AL/BL/CL/DL/JA and 8589 B/C 8574 LG Same, length 14 cm, for use with Laryngoscope 8590 KL JK/LM/LN 8574 JK Suction Tube, to remove vapor, for LASER treatment, length 12 cm, for use with Laryngoscopes 8574 J/JP and 8590 LL 8574 LM Same, length 16 cm, for use with Laryngoscopes 8590 AL/BL/CL/DL/JA and 8589 B/C 8574 LN Same, length 14 cm, for use with Laryngoscope 8590 KL LA 5 B 537

42 Triangle Anterior Commissure Laryngoscopes Most laryngoscopes have a round or oval distal opening, which is not optimally suited to the triangular shaped glottis (Fig. 1, left). It is therefore frequently not possible to focus on the anterior commissure with these laryngoscopes. The so-called "anterior commissure tubes" with upturned distal end shift the larynx and thus the anterior third of the glottis forwards out of the field of view. In addition to this, the curve of the tube end impedes the view of the anterior commissure (Fig. 2). Taking up the idea of Vaughan, we developed a laryngoscope for examining the anterior commissure. Its distal end is not upturned, but is shaped like the ridge of a roof. The triangular shape means that the distal opening exactly fits into the similarly triangular shape of the glottis (Fig. 1, right). The laryngoscope offers a good view of the glottis from the anterior commisure right to the arytenoid region. The laryngoscope is available in 2 sizes. The smaller one is the universal tube. The larger one is suitable for large larynxes in adults with edentulous upper jaws. Prof. emer. H. RUDERT, M. D., Universitätsklinik Kiel, Germany Fig. 1. Focus of distal laryngoscope on the glottis: the oval or round laryngoscope (left), our triangular shaped laryngoscope for the anterior commisure (right) B 8574 LF 8574 LM Fig. 2. The upturned distal end of the so-called anterior commissure tube impedes the view of the anterior commissure x B B RUDERT Anterior Commissure Laryngoscope, large, triangular spatulashaped, with lateral outer channels for Fiber Optic Light Carrier 8574 LF or Suction Tube to remove vapor 8574 LM, length 17 cm, (version with wide lumen for special cases) 8589 C Same, medium, universal size, (most commonly used model) x C 8574 LF 8574 LM 8574 LF Fiber Optic Light Carrier, for distal illumination, length 16 cm, for use with Laryngoscopes 8590 AL/BL/C/CL/DL/JA and 8589 B/C 8574 LM Suction Tube to remove vapor, for LASER treatment, length 16 cm, for use with Laryngoscopes 8590 AL/BL/CL/DL/JA and 8589 B/C LA 6 E

43 DEDO Operating Laryngoscope n Special Features: The DEDO laryngoscope enables a view of the glottis from the anterior commissure right to the arytenoid region. Thin tube diameter allows universal use in adults. The distal end of the laryngoscope is shaped like a rounded V for optimal visualization. Proximal design provides an excellent view of the anterior commissure. Comfortable handle design and low overall weight enables convenient handling. Dimensions in mm: proximal and distal x A 8890 A DEDO Operating Laryngoscope, with extra light handle, length 18 cm 8574 LG Fiber Optic Light Carrier, for distal illumination, length 14 cm, for use with Laryngoscope 8890 A LN Suction Tube to remove vapor, length 14 cm, for use with Laryngoscope 8890 A LA 7 G 539

44 STEINER Distending Operating Laryngoscopes for Transoral LASER Microsurgery 8575 K 8661 AN Rear view Outer dimensions in mm: proximal distal Width of valves: max. 35, min AN 8661 AN 22 Width of valves: max. 50, min AN STEINER Distending Operating Laryngoscope, for adults, lightweight construction, with antireflex coating for LASER treatment, channel removing vapor integrated in handle and blade, length 18 cm, for use with Clip, for proximal illumination 497 AC and Laryngoscope Holder 8575 K/KC 8575 K Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: Support Rod, movable, with metal ring, diameter 9 cm, length 34 cm 497 AC Clip, for proximal illumination 497 AC Components/Spare Parts see chapter LA 8 G

45 STEINER Distending Operating Laryngoscope and Oropharyngoscope for Transoral LASER Microsurgery 8666 AN Rear view 8666 DN Rear view Outer dimensions in mm: proximal AN Width of valves: max. 30, min. 19 distal DN 27 Width of valves: max. 43, min AN STEINER Distending Operating Laryngoscope, for adults, lightweight construction, with antireflex coating for LASER treatment, with right and left side wings to prevent the tongue/soft tissue from obstructing the lumen, channel removing vapor integrated in handle and blade, length 18 cm, for use with Clip, for proximal illumination 497 AC and Laryngoscope Holder 8575 K/KC 8666 DN STEINER Distending Operating Oropharyngoscope, for adults, lightweight construction, with antireflex coating for LASER treatment, with right and left side wings to prevent the tongue/soft tissue from obstructing the lumen, channel removing vapor integrated in handle and blade, length 14 cm, for use with Clip, for proximal illumination 497 AC and Laryngoscope Holder 8575 K/KC LA 9 E 541

46 STEINER Operating Laryngoscopes for Transoral LASER Microsurgery with integrated channel to remove vapor 8661 CN 8661 DN 8661 EN 8661 P 8661 M 497 AC 8661 N Full size illustration: inner diameter in mm proximal and distal CN DN EN 8661 CN STEINER Operating Laryngoscope, mediumlarge, for adults, with antiflex coating for LASER treatment, with integrated channel to remove vapor, outer diameter proximal 26 x 18 mm, length 18 cm 8661 DN STEINER Operating Laryngoscope, small, for adults with difficult anatomical circumstances and for children, with antiflex coating for LASER treatment, with integrated channel to remove vapor, outer diameter proximal 23 x 15 mm, length 19 cm 8661 EN STEINER Operating Laryngoscope, extra small size, for difficult anatomical circumstances, with antiflex coating for LASER treatment, flat, outer diameter proximal 24 x 13 mm, length 20 cm, for use with Suction Tube 8661 M/N 8661 M Suction Tube to remove vapor, for LASER treatment, outer diameter 3 mm, working length 16 cm, for use with operating laryngoscopes and Adaptor 8661 P 8661 N Same, working length 20 cm 8661 P Adaptor, for Suction Tube 8661 M/N, attachable to the laryngoscope s proximal end, allows continuous adjustment of the suction tube within the laryngoscope 497 AC Clip, for proximal illumination LA 10 E

47 WEERDA Distending Operating Laryngoscopes Special Features: Two adjustment screws enable maximal distending and exact adaptation to every anatomy, providing excellent viewing conditions. Lateral adjustment screw allows the lumen to be expanded by mm. Front adjustment screw enables maximal distal distending of the lower spatula blade. Small dimensions of laryngoscope when spatula are closed ease introduction Wide lateral slots provide largest possible working area for micro surgical instruments Use of additional suction tubes to remove vapor during laser surgery ensures that overview is not obstructed A 8588 B 8588 C Outer dimensions in mm: proximal A Width of valves: max. 30, 16 min. 18 Width of valves: max. 65, min B Width of valves: max. 35, min C distal A 8588 B 12 Width of valves: max. 57, min C 8588 A WEERDA Distending Operating Laryngoscope, large, for adults, length 18 cm 8588 B Same, for adolescents and adults 8588 C WEERDA Distending Operating Laryngoscope, for children, length 13.5 cm 8588 GF Fiber Optic Light Carrier, for use with Laryngoscopes 8588 A/B 8588 GP Same, for use with Laryngoscopes 8588 C 8588 K Injection Cannula, for positive pressure assisted ventilation, for use with 8588 A/B/BV 8588 M Suction Tube to remove vapor, for LASER treatment, for use with Laryngoscopes 8588 A/B/BV 8588 MP Same, for use with Laryngoscope 8588 C Width of valves: max. 26, 13 min. 14 Width of valves: max. 47, min LA 11 E 543

48 WEERDA Distending Video Operating Laryngoscope Transoral partial laryngectomy and pharyngectomy using the WEERDA distending video-laryngoscope With conventional microlaryngeal surgery, because surgical procedures are performed through a narrow laryngoscope under the guidance of a surgical microscope, the visual field is limited and working space is narrow. In addition, the visual field is often blocked when two hands are used. These disadvantages have limited its indications. In order to resolve these issues, we have been performing surgery using KARL STORZ s WEERDA distending video laryngoscope (conventional WEERDA distending laryngoscope and HOPKINS telescope) and the Endovision TELECAM SL/IPM camera system to achieve a larger visual field and sufficient working space. Characteristics of the WEERDA distending videolaryngoscope With the present system, because the laryngeal/hypopharyngeal region can be widely opened, a sufficient working space and a wide visual field can be achieved. As a result, surgical procedures that used to require tracheostomy or external cervical incision can now be performed transorally. Supraglottic laryngectomy and partial hypopharyngectomy can be performed with less invasiveness. In addition to such surgical procedures for laryngeal and hypopharyngeal cancers, the present system is useful for various procedures in the laryngeal, hypopharyngeal and lingual root regions. Hence, it is a powerful tool to make surgery in these regions less invasive. A. SHIOTANI, M. D., Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, Saitama, Japan 8588 BV 8575 AV 8588 BV WEERDA Distending Video Operating Laryngoscope, for adolescents and adults, for operation under video control, with channel and holder for Telescope 8575 AV, length 17 cm, for use with Fiber Optic Light Carrier 8590 GF, Suction Tube to remove vapor 8588 M, Injection Cannula 8588 K and Laryngoscope Holder and Chest Support 8575 K 8575 AV HOPKINS Straight Forward Telescope 15, diameter 4 mm, length 17 cm, autoclavable, 45 angled eyepiece, fiber optic light transmission incorporated, color code: green LA 12 F

49 Original LINDHOLM and BENJAMIN- LINDHOLM Operating Laryngoscopes Special Features: Unique design particularly suitable for laryngeal surgery Panoramic overview of the Iaryngopharynx Exceptional view of the epiglottis, arytenoids, posterior commissure, pyriform sinuses and cricoid region Excellent inspection of areas mentioned above with operation microscope Full size illustration: inner diameter in mm proximal and distal A/AA/KK 8587 GF A/AA 8587 KK x N 8587 P 8587 N 8587 GF 8587 P 8587 A LlNDHOLM Operating Laryngoscope, large, for adults, inner proximal end 39 x 24 mm, distal end width 18 mm, length 15 cm 8587 AA Same, length 17 cm 8587 KK Same, for children, inner proximal end 30 x 20 mm, distal end width 16 mm, length 11 cm 8587 N BENJAMIN-LlNDHOLM Operating Laryngoscope, for children, inner proximal end 30 x 18 mm, distal end width 20 mm, length 11.5 cm 8587 PF 8587 P BENJAMIN-LlNDHOLM Operating Laryngoscope, for newborn babies and infants, inner diameter proximal end 26 x 16 mm, distal end 14 x 11 mm, length 9.5 cm 8587 K 8587 GF Fiber Optic Light Carrier, for distal illumination, length 7.5 cm, for use with Laryngoscopes 8587 A/AA/KK 8587 PF Same, length 6.5 cm, for use with Laryngoscopes 8587 N/P 8587 M/MK 8587 K Injection Cannula, for positive pressure assisted ventilation, length 8.5 cm, for use with Laryngoscopes 8587 A/AA/KK PM 8587 M Suction Tube to remove vapor, for LASER treatment, length 8.5 cm, for use with Laryngoscopes 8587 A/AA 8587 MK Same, length 7 cm, for use with Laryngoscope 8587 KK 8587 PM Same, length 6.5 cm, for use with Laryngoscope 8587 N/P LA 13 F 545

50 Original BENJAMIN and BENJAMIN-PARSONS Slimline Operating Laryngoscopes and Subglottiscopes Special Features: Appropriate for patients whose larynx is difficult to inspect For micro surgery and LASER surgery Light clip for proximal illumination Quickly and easily attachable to the laryngoscope 8574 SL 8574 SLS 8574 SSL Full size illustration: inner diameter in mm proximal and distal x SL BENJAMIN Slimline Operating Laryngoscope and Subglottiscope, for adults, slender, length 17 cm, for use with Clip 497 AC 15, SL x SLS BENJAMIN-PARSONS Slimline Operating Laryngoscope and Subglottiscope, for adults, slender, right-hand side slotted for the introduction of bronchoscopes and tracheal tubes, length 17 cm, for use with Clip 497 AC SLS SSL 8574 SSL BENJAMIN-PARSONS Super-Slimline Operating Laryngoscope and Subglottiscope, for adults, extra slender, flat model, for particularly difficult anatomical circumstances, length 17 cm, for use with Clip 497 AC 497 AC Clip, for proximal illumination 497 AC 8574 GY GZ 8574 GY BENJAMIN Injection Cannula, for positive pressure assisted ventilation, malleable, diameter 2 mm, working length 13.5 cm 8574 GZ Same, diameter 3 mm LA 14 F

51 Original PARSONS Adult Operating Laryngoscopes Special Features: Wide proximal end highly suitable for binocular inspection Superior surface of size 4 and 5 is rough to prevent tongue from sliding into the lumen. Easy use of instruments Maximum illumination of operation area 8576 AA 8576 A 8576 B Full size illustration: inner diameter in mm proximal and distal AA 8576 A 8576 AA PARSONS Operating Laryngoscope, size 6, for adults, large, for anterior commissure, wide proximal opening suitable for binocular viewing, right-hand side slotted for introduction of broncho-oesophagoscopes and operating instruments, left-hand side with insufflation channel for oxygen supply, anesthetic gas or for jet ventilation, length 18 cm, for use with Clip 497 AC for proximal illumination 8576 A Same, size 5, for adolescents and adults, medium-large, length 16.5 cm 8576 B Same, size 4, for children up to age 12, medium, length 14.5 cm B 497 AC 497 AC Clip, for proximal illumination LA 15 G 547

52 Original PARSONS Pediatric Laryngoscopes with Proximal Ilumination Special Features: Enlarged proximal end enables binocular viewing Lateral insufflation channel for anesthetic gas and oxygen supply Also appropriate for jet ventilation Wide lateral slit allows introduction of bronchoscopes and esophagoscopes and enlarges the lumen of the laryngoscope for better binocular inspection Flat anterior tip enables better positioning in the anterior commissure or vallecula. Simultaneous use of a telescope enables excellent panoramic view Superior surface is rough to prevent tongue from sliding into the lumen, thereby ensuring an unobstructed view of supraglottic structures Complete set in 3 sizes for premature babies, newborn babies and infants up to 4 years old FA 8576 E 8576 D 8574 KW 8576 C 8576 C PARSONS Laryngoscope, size 3, for toddlers, flat distal end for anterior commisure, wide proximal opening enable binocular viewing, right-hand side slotted for introduction of broncho-oesophagoscopes and operating instruments, left-hand side with insufflation channel for oxygen supply, anesthetic gas or jet ventilation, for use with Prismatic Light Deflector FA/JA/JUA and Laryngoscope Holder 8574 KT/KW, length 11 cm 8576 D Same, size 2, for neonates, length 9 cm 8576 E Same, size 1, for premature infants, length 8 cm FA Prismatic Light Deflector, autoclavable, with connection to fiber optic light cable (not to be used with 8574 K/KB/KT/KW) 8574 KW BENJAMIN-PARSONS Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: BENJAMIN-PARSONS Support Rod, movable, with metal ring, diameter 12 cm and 2 lateral set screws, length 34 cm Pediatric Laryngoscopes 8574 B G and 8576 C E are for use with the Laryngoscope Holders 8574 KT/KW only. Components/Spare Parts see chapter LA 16 H

53 Original BENJAMIN and BENJAMIN-PARSONS Pediatric Operating Laryngoscope Special Features: Wide proximal end for binocular inspection Easy use of instruments due to large access Safe use of CO 2 laser Lateral channels for suction tubes to remove vapor during LASER surgery and for light carrier for distal illumination Maximum illumination of operation area 8574 J 8574 JB 8574 JP Full size illustration: inner diameter in mm proximal and distal J 8574 JB 8574 JP 8574 J BENJAMIN Operating Laryngoscope, for children, length 15 cm 8574 JB Same, small size, length 11.5 cm 8574 JH 8574 JK 8574 JP BENJAMIN-PARSONS Operating Laryngoscope, for children, lateral slit for the introduction of pediatric bronchoscopes up to size 6 and tracheai tubes, lower surface of spatula is rough to prevent tongue from slipping off, length 15 cm 8574 JH Fiber Optic Light Carrier, for distal illumination, length 12 cm, for use with Laryngoscopes 8574 J/JP 8587 PF 8574 JK Suction Tube to remove vapor, for LASER treatment, length 12 cm, for use with 8574 J/JP PM 8587 PF Fiber Optic Light Carrier, for distal illumination, length 6.5 cm, for use with Laryngoscope 8574 JB 8587 PM Suction Tube, to remove vapor, for LASER treatment, length 6.5 cm, for use with Laryngoscope 8574 JB LA 17 E 549

54 Pediatric Laryngoscopes with Proximal Illumination 8574 B 8574 C E 8574 B 8574 G 8574 C 8574 G FA 8574 KT JA 8574 B 8574 B HOLINGER-TUCKER Anterior Commissure Laryngoscope, lateral opening, length 11 cm 8574 C Slotted Laryngoscope, lateral opening, length 11 cm 8574 D Same, length 9.5 cm 8574 E Same, length 8 cm 8574 KT Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: Support Rod, movable, with metal ring, diameter 9 cm, length 34 cm or: 8574 G BENJAMIN Slotted Laryngoscope, lateral opening, especially appropriate for introducing pediatric bronchoscopes, length 13.5 cm FA Prismatic Light Deflector, autoclavable, with connection to fiber optic light cable JA Same, fiber optic light cable integrated (for use with 8574 KT/KW) JUA Same, autoclavable, with additional light cable for the simultaneous use of telescopes 8574 KW BENJAMIN-PARSONS Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: BENJAMIN-PARSONS Support Rod, movable, with metal ring, diameter 12 cm and 2 lateral set screws, length 34 cm Pediatric Laryngoscopes 8574 B G and 8576 C E are for use with the Laryngoscope Holders 8574 KT/KW only. Components/Spare Parts see chapter LA 18 G

55 HOLINGER Laryngoscope, LEWY Laryngoscope Holder 8575 KT 8580 H original size: 8580 B 8575 KT LEWY Laryngoscope Holder and Chest n Support including: Support Rod, movable, with metal ring, diameter 9 cm, length 34 cm 8575 KW LEWY Laryngoscope Holder and Chest n Support including: Support Rod, movable, with metal ring, diameter 12 cm, length 34 cm 8580 B HOLINGER Anterior Commissure Laryngoscope, for adults, length 17 cm, with Fiber Optic Light Carrier 8580 BL and Handle 8580 H 8580 H Laryngoscope Handle, detachable, for use with LEWY laryngoscope holder and chest support and with operating laryngoscopes Please note: Chest Supports 8575 GL/K/KC are not to be used with Pediatric Laryngoscopes 8576 C E. Handle 8580 H is detachable for use of Laryngoscope 8580 B, also with Chest Supports 8575 K/KC. LEWY Chest Support 8575 GL can be adapted to Handle 8580 H. Components/Spare Parts see chapter 16 LA 19 B 551

56 Laryngoscope Holders for Operating Laryngoscopes 8575 K 8575 KC 8575 V 8575 K Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: Support Rod, movable, with metal ring, diameter 9 cm, length 34 cm 8575 KC BENJAMIN-PARSONS Laryngoscope Holder and Chest Support, GÖTTINGEN model, with adjustment wheel including: BENJAMIN-PARSONS Support Rod, movable, with metal ring, diameter 12 cm and 2 lateral set screws, length 34 cm 8575 V Extension, GRONINGEN model, for enlargement of opening angle of support rod for overweight patients, angled, length 8 cm, for use with Laryngoscope Holder 8575 K/KC and Laryngoscopes 8574 J JP/SL RB, 8576 AA B, , Components/Spare Parts see chapter LA 20 F

57 Chest Support for Laryngoscope Holders Chest Support, GÖTTINGEN model A special chest support system has been designed to meet the requirements of transoral tumor surgery in the pharynx and larynx, together with an adjustable platform that can be secured in any of three dimensional positions, allowing effortless changes in the position of the laryngo-pharyngoscope during tumor surgery. Extremely lateral angles, as are often necessary for work in the pharynx, are easily achieved and maintained. Prof. emer. W. STEINER, M. D., Universitäts-Hals-Nasen-Ohrenklinik, Göttingen, Germany 8575 L L Support Table, GÖTTINGEN model, for Laryngoscope Holders 8575 K/KC, 8574 KT/KW, autoclavable including: Swivel Arm, with movable plate Holding Rod, for height adjustment Attachment Blocks, can be mounted on operation table equipped with standard sliding rail 25 x 10 mm Components/Spare Parts see chapter 16 LA 21 H 553

58 Chest Support for Laryngoscope Holders Chest Support, LÜBECK model Special Features: Movable plate for Chest Supports 8575 K/KC, 8574 KT/KW Swivel holding arm Fine gear system complements height adjustment of chest support Ensures safe mounting of the chest support and the laryngoscope Ideal for children and overweight patients Support plate with lateral ring for attaching Tongue Spatula for adenoidectomy and tonsillectomy 8585 S 8585 S Chest Support, LÜBECK model, with gear system for height adjustment and swivel arm with movable plate, for use with Laryngoscope Chest Supports 8575 K/KC, 8574 KT/KW, can be mounted on OR table equipped with standard sliding rail 25 x 10 mm Components/Spare Parts see chapter LA 22 H

59 LaryngoFIT Instruments completely detachable n The missing piece of the puzzle The new generation of ENT forceps from KARL STORZ Nothing could be more simple! The preparation of instruments is increasingly in the spotlight. The demand for a perfect hygienic cleaning process which can be validated and recorded is difficult to meet due to the design constraints of conventional instruments. LaryngoFIT, the new ENT forceps from KARL STORZ, on the contrary, make perfect hygiene child s play. One hand movement is enough to separate the working insert from the handle. You then have 2 instrument parts without dirt traps or inaccessible channels, which can be cleaned efficiently to a cutting-edge hygienic standard. Naturally, the instruments can be reassembled as quickly and easily as they can be dismantled. Better hygiene, lower costs Easy to clean, easy to use Accurate sections, comfortable design 7-09 Dismantling the instrument in 2 simple steps: Push the slide back......and pull the working attachment out of the handle. Machine cleaning of the LaryngoFIT instruments is as easy as it is efficient. Specially developed cleaning racks, in which the separate parts of the LaryngoFIT can be connected directly to the rinsing system, ensure particularly thorough preparation. LA 23 I 555

60 LaryngoFIT Instruments completely detachable n Special Features: Completely detachable Easy dismantling and reassembly Easy and efficient cleaning also by means of the LUER-Lock connection Economic advantages due to compatibility with all working attachments Well-balanced handle with ergonomic design Great variety of working inserts Inserts can be locked into three different positions Two-piece design LaryngoFIT Instruments can be completely disassembled into separate components: Handle Working attachment LA 24 I

61 LaryngoFIT Instruments completely detachable n Working Attachment for use with Metal Handle working length 23 cm + LaryngoFIT KLEINSASSER Cutting Forceps, with cupped jaws, 2 mm 8591 AZ straight 8591 BZ curved upwards 8591 CZ curved right 8591 DZ curved left LaryngoFIT KLEINSASSER Alligator Forceps, serrated 8593 AZ straight 8593 BZ 8593 CZ curved right curved left EZ curved upwards LaryngoFIT KLEINSASSER Scissors 8594 AZ straight 8594 BZ angled CZ curved right DZ curved left Please note: Metal Handle is not included. Please order separately. LA 25 I 557

62 LaryngoFIT Instruments Accessories n XFB XF Instrument Rack, with one irrigation block (standard version) for cleaning, sterilization and storage of up to 15 LaryngoFIT or 15 SinuFIT instrument attachments and 6 handles, incl. variable bars with silicone holder and direct connection of the instrument attachments via a multi-port bridge to the washer-disinfector and Wire Tray ZB, external dimensions (w x d x h): 480 x 250 x 160 mm XFB Same for Cleaning, Sterilization and Storage of up to 15 LaryngoFIT or 15 SinuFIT instrument attachments and 6 handles Optional Accessory V V Wire Tray for Cleaning, Sterilization and Storage of instruments, with hole plate walls and foldaway handles, external dimensions (w x d x h): 228 x 248 x 45 mm 7-09 Components/Spare Parts see chapter 16 Further accessories for cleaning and sterilization see catalog HYGIENE Please note: The instruments displayed are not included in the instrument racks. 558 LA 26 H

63 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Working length 23 cm Special Features: Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 23 cm 8591 A 8591 A KLEINSASSER Cutting Forceps, straight, with 2 mm cupped jaws, with cleaning connector, working length 23 cm 8591 B Same, curved upwards 8591 C Same, curved to right 8591 D Same, curved to left 8591 EA Same, with straight cutting edge for tangential removal of polyps on vocal cords edge, curved upwards to right 8591 FA Same, with straight cutting edge for tangential removal of polyps on vocal cords edge, curved upwards to left LA 27 I 559

64 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Working length 21 cm, for adolescents 21 cm 8591 AJ 8591 AJ KLEINSASSER Forceps, straight, with 2 mm cupped jaws, sheath conically reinforced from distal to proximal end, with cleaning connector, working length 21 cm 8591 CJ Same, curved to right 8591 DJ Same, curved to left Working length 23 cm 23 cm 8591 AM 8591 AM KLEINSASSER Miniature Forceps, straight, with 1 mm cupped jaws, sheath conically reinforced from distal to proximal end, with cleaning connector, working length 23 cm 8591 BM Same, curved upwards 8591 CM Same, curved to right 8591 DM Same, curved to left 8591 EM Same, curved upwards to right 8591 FM Same, curved upwards to left LA 28 H

65 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Working length 23 cm Special Features: Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 23 cm 8592 A 23 cm 8593 A 8592 A KLEINSASSER Artery Forceps, with ratchet, with cleaning connector, working length 23 cm 8593 A KLEINSASSER Grasping Forceps, without ratchet, serrated, straight, with cleaning connector, straight, working length 23 cm 8593 B Same, curved to right 8593 C Same, curved to left 8593 E Same, curved upwards G Same, with triangular jaws, curved upwards to right 8593 H Same, curved upwards to left LA 29 I 561

66 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Working length 23 cm 23 cm 8593 AM 8593 AM KLEINSASSER Miniature Grasping Forceps, straight, serrated, sheath conically reinforced from distal to proximal end, with cleaning connector, working length 23 cm 8593 BM Same, curved to right 8593 CM Same, curved to left 8593 EM Same, curved upwards Special Features: Extra fine grasping forceps, with triangular fenestrated jaws, curved upwards to right or left 23 cm 8593 GM 8593 GM Miniature Grasping Forceps, extra delicate, serrated, with triangular jaws, curved upwards to right, with cleaning connector, working length 23 cm HM Same, curved upwards to left 562 LA 30 I

67 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Special Features: Excellent cutting performance with optimal transfer of strength Due to specially ground surface scissor blades stay sharper much longer Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability Working length 23 cm 23 cm 8594 A 8594 A KLEINSASSER Scissors, straight, with cleaning connector, working length 23 cm 8594 BB Same, angled 15º 8594 B Same, angled 45º 8594 C Same, curved to right 8594 D Same, curved to left 8594 E Same, straight, cuts horizontally Working length 21 cm, for adolescents 21 cm 8594 AJ AJ KLEINSASSER Scissors, straight, sheath conically reinforced from distal to proximal end, with cleaning connector, working length 21 cm 8594 CJ Same, curved to right 8594 DJ Same, curved to left LA 31 I 563

68 Original KLEINSASSER Instruments for Endolaryngeal Microsurgery Working length 23 cm Special Features: Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 23 cm 8594 AM 8594 AM KLEINSASSER Miniature Scissors, straight, with cleaning connector, working length 23 cm 8594 BM Same, angled 45º 8594 CM Same, curved to right 8594 DM Same, curved to left LA 32 H

69 KLEINSASSER LASER Additional Instruments modified by SHAPSHAY/HEALY for Laryngoscopy during Micro Spot LASER Treatment Working length 20 cm Special Features: Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 20 cm 8681 D 8681 A Micro Forceps, straight, with 1 mm cupped jaws, with cleaning connector, working length 20 cm 8681 B Same, curved upwards 8681 C Same, curved to right 8681 D Same, curved to left 8683 A Micro Grasping Forceps, straight, serrated, with cleaning connector, working length 20 cm 8683 B Micro Grasping Forceps, curved upwards, serrated, with cleaning connector, working length 20 cm 8683 C Same, curved to right D Same, curved to left LA 33 H 565

70 KLEINSASSER LASER Additional Instruments modified by SHAPSHAY/HEALY for Laryngoscopy during Micro Spot LASER Treatment Working length 20 cm Special Features: Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 20 cm 8683 H 8683 G SHAPSHAY-PERETTI Micro Grasping Forceps, curved upwards to right, serrated, with triangular fenestrated jaws, with cleaning connector, working length 20 cm 8683 H Same, curved upwards to left 8684 A Micro Scissors, straight, with cleaning connector, working length 20 cm 8684 B Same, curved upwards 8684 C Same, curved to right 8684 D Same, curved to left 8686 A Micro Grasping Forceps, straight, hollow jaws, serrated tips, opens horizontally to right, with cleaning connector, working length 20 cm 8687 A Micro Alligator Forceps, both jaws open vertically, with suction channel to remove LASER vapors, with cleaning connector, working length 20 cm LA 34 H

71 KLEINSASSER LASER Additional Instruments modified by RUDERT for Laryngoscopy during CO 2 LASER Treatment Working length 18 and 23 cm Special Features: All instruments are equipped with a channel for evacuation of LASER vapors Special matt finish for use with CO 2 -LASER Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 23 cm 8591 BL 8591 AL Spoon Forceps, straight, diameter 2 mm, with suction channel to remove LASER vapors, with cleaning connector, working length 23 cm 8591 BL Spoon Forceps, curved upwards, diameter 2 mm, with suction channel to remove LASER vapors, with cleaning connector, working length 23 cm 8591 RL KLEINSASSER Forceps, opens horizontally to right, with 2 mm cupped jaws, with cleaning connector, working length 23 cm 8591 SL Same, opens horizontally to left 8591 TL Spoon Forceps, straight, heavy model, diameter 4 mm, with suction channel to remove LASER vapors, with cleaning connector, working length 22 cm LA 35 H 567

72 Instruments for Endolaryngeal Microsurgery Working length 23 cm 23 cm 8591 P 8591 P Spoon Forceps, with cupped jaws, diameter 5 mm, robust model, double action jaws, sheath diameter 2.5 mm, with cleaning connector, working length 23 cm 8591 PL Forceps, spoon-shaped, oval, width 4 mm, fenestrated, for biopsy, double action jaws, sheath diameter 2.5 mm, with cleaning connector, working length 23 cm 23 cm 8591 U 8591 T Spoon Forceps, with 4 mm cupped jaws, straight, heavy model, single action jaws, with cleaning connector, working length 23 cm 8591 U Same, curved upwards 8591 V Same, curved to right 8591 W Same, curved to left LA 36 C

73 Instruments for Endolaryngeal Microsurgery Working length 23 cm 23 cm 8660 L 8660 H KLEINSASSER Alligator Grasping Forceps, heavy model, single action jaws, with cleaning connector, working length 23 cm 8660 L KLEINSASSER Laryngeal Biopsy Forceps, heavy model with oval jaws, size 3 x 4 mm, single action jaws, with cleaning connector, working length 23 cm 23 cm 8594 TA 8594 TA LARYNGOFORCE II Scissors for Large Tumors, straight, robust model, cutting blade 10 mm, sheath diameter 3 mm, with cleaning connector, working length 23 cm LA 37 I 569

74 Original STEINER lnstruments for Transoral LASER Microsurgery The special laryngoscopes are supplemented by a set of newly developed micro-instruments: Grasping Forceps for gentle and yet effective grasping of tissue. They are available in five sizes, four of which feature an integrated smoke evacuation tube. All instruments are manufactured with a special, matt finish, that diffuses the LASER beams. This is particularly advantageous during photo or video documentation, due to the elimination of interfering reflections. Prof. W. STEINER, M. D., Universitäts-Hals-Nasen-Ohrenklinik, Göttingen, Germany 8662 D 8662 D LARYNGOFORCE II Grasping Forceps, delicate, serrated, special matt finish, with cleaning connector, working length 22 cm 8662 E LARYNGOFORCE II Grasping Forceps, with oval alligator jaws, small, special matt finish, with cleaning connector, working length 22 cm 8662 F 8662 F LARYNGOFORCE II Grasping Forceps, with oval alligator jaws, medium, special matt finish, with cleaning connector, working length 22 cm 8662 FL Same, medium, with suction channel to remove LASER vapors LA 38 D

75 Original STEINER lnstruments for Transoral LASER Microsurgery Working length 22 cm 8662 G/H 8662 G LARYNGOFORCE II Grasping Forceps, with oval, fenestrated alligator jaws, large, special matt finish, with cleaning connector, working length 22 cm 8662 GL Same, with suction channel to remove LASER vapors 8662 H LARYNGOFORCE II Grasping Forceps, with triangular, fenestrated alligator jaws, extra large, special matt finish, with cleaning connector, working length 22 cm 8662 HL Same, with suction channel to remove LASER vapors LA 39 C 571

76 Original STEINER lnstruments for Transoral LASER Microsurgery Special Features: Protectors to shield distal mucosa from unintentional LASER irradiation, e. g. protection of the subglottis during LASER resection at the free edge of the vocal cord in unintubated patient. Available in diameter 5 mm and 7 mm, each with an integrated suction tube. Unipolar cannula for suction and coagulation, ergonomic handle enables steady and targeted work. Also suitable for dissecting and retracting tissue, insulated, with cleaning stylet and available in diameter 2, 2.5 and 3.5 mm. Suction tube with retractor and ergonomic handle for retracting tissue during LASER incisions. The straight distal end may also be used as a shield e. g. for protection of the contralateral vocal cord during LASER resection P/R 8596 P Protector, to protect tissue against unintentional LASER irradiation, curved upwards, round, diameter 5 mm, special matt finish, with suction channel to remove LASER vapors, working length 23 cm 8596 R Same, oval, diameter 7 mm 8606 D F 8606 K 8606 D Coagulation Suction Tube, with ergonomic handle, insulated, with connection for unipolar coagulation, with Cleaning Stylet 8606 FM, outer diameter 2 mm, working length 23 cm 8606 E Coagulation Suction Tube, with ergonomic handle, insulated, with connection for unipolar coagulation, with Cleaning Stylet 8606 FM, outer diameter 2.5 mm, working length 23 cm 8606 F Coagulation Suction Tube, with ergonomic handle, insulated, with connection for unipolar coagulation, with Cleaning Stylet 8606 FM, outer diameter 3.5 mm, working length 23 cm 8606 K Suction Tube, with ergonomic handle, with distal elevator 18 x 5 mm, for dissecting and retracting tissue, special matt finish, with Cleaning Stylet 8606 FM, outer diameter 3 mm, working length 23 cm Please note: Simultaneous use of insulated instruments and LASER is prohibited. 572 LA 40 C

77 Original STEINER lnstruments for Transoral LASER Microsurgery 23 cm 8663 BH 8663 AH Grasping Forceps, straight, serrated, sheath insulated, with cleaning connector, working length 23 cm 8663 BH Same, curved to right 8663 CH Same, curved to left 22 cm 8665 L 8665 L LARYNGOFORCE II Clip Forceps, jaws curved to left, with cleaning connector, working length 22 cm, for use with Clips 8665 T 8665 R Same, jaws curved to right 8665 T Clip, titanium LT 200, medium, 5 mm, sterile, package of 36 cartridges with 6 clips each, for use with Forceps 8665 L/R, NL/NR Please note: Simultaneous use of insulated instruments and LASER is prohibited. LA 41 D 573

78 Pediatric lnstruments for Endolaryngeal Microsurgery Working length 18 cm Special Features: Excellent cutting performance with optimal transfer of strength Due to specially ground surface scissor blades stay sharper much longer Distal end thinner than proximal end to provide better viewing Sheath conically reinforced from distal to proximal end to increase mechanical stability 18 cm 8591 AK 8591 AK KLEINSASSER Forceps, straight, with cupped jaws, 2 mm, with cleaning connector, working length 18 cm 8591 BK KLEINSASSER Forceps, upturned, with cupped jaws, 2 mm, with cleaning connector, working length 18 cm 8591 CK KLEINSASSER Forceps, curved to right, with cupped jaws, 2 mm, with cleaning connector, working length 18 cm 8591 DK Same, curved to left LA 42 D

79 Pediatric lnstruments for Endolaryngeal Microsurgery 18 cm 8593 AK 8593 AK KLEINSASSER Grasping Forceps, straight, serrated, with cleaning connector, working length 18 cm 8593 GK Micro Grasping Forceps, curved upwards to right, serrated, with triangular fenestrated jaws, with cleaning connector, working length 18 cm 8593 HK Same, curved upwards to left 8594 AK KLEINSASSER Scissors, straight, with cleaning connector, working length 18 cm 8594 CK Same, curved to right 8594 DK Same, curved to left LA 43 D 575

80 Pediatric lnstruments for Endolaryngeal Microsurgery 18 cm 8591 MK 8591 MK Spoon Forceps, jaws open horizontally, distal end malleable, diameter 4 mm, with cleaning connector, working length 18 cm 20 cm 8660 AK 8660 AK Grasping Forceps, for arytenoid cartilage, serrated, width of jaws 5 mm, with cleaning connector, working length 20 cm SK SK Injection Cannula, short tip, for single use, LUER-Lock, tip outer diameter 1 mm, inner diameter 0.7 mm, working length 18 cm, package of 3 18 cm 8602 KS 8603 KS 8602 KS KLEINSASSER Suction Tube, ball end, outer diameter 2 mm, working length 18 cm 8603 KS Same, outer diameter 3 mm LA 44 D

81 WENDLER Needle Holder for Endolaryngeal Microsurgery When performing surgical interventions in direct laryngoscopy, any necessary endolaryngeal suture is usually complex because the confined space leaves little room for needle guidance. Particularly in the craniocaudal direction, as is the case with suture at the margins of the vocal cords, it can be difficult to place the needle correctly with a straight needle holder because it only allows parallel gripping by the grasping jaws in the direction of the sheath. It twists slightly and does not remain under adequate control. The needle holder bent upward grips the needle in an optimal position and permits punctures in the direction of the sheath without any problems. It is recommended that the tissue to be sewn be tensioned with grasping forceps. For punctures to return the thread outward (caudiocranial) both straight and angled needle holders can be used, depending on specific conditions. A knot pusher for immobilizing the knot is indispensable in all cases. The new needle holder was initially developed for glottal surgery to shorten the glottis, serving to raise the pitch of the voice in transsexual patients. But also in the case of arytenoidectomy, synechia resections, and traumatic lesions of varying genesis (also during endolaryngeal operations) there is frequently a need for suture in the direction of puncture described. In all the cases the angled needle holder facilitates puncture guidance to optimally adapt the margins of the mucous membrane in the required plane. J. WENDLER, Universitätsklinikum Charité, Abteilung für Phoniatrie, Berlin, Germany 8660 W 8660 W WENDLER Needle Holder, delicate, curved upwards, for glottal surgery, arytenoidectomy and other endolaryngeal interventions, sheath conically reinforced from distal to proximal end, with ratchet, with serrated round jaws, diameter 1.6 mm, with cleaning connector, working length 23 cm LA 45 D 577

82 FEHLAND Needle Holder for Endolaryngeal Microsurgery For interventions which require guidance of the needle parallel to the sheath during endolaryngeal microsurgery, locking and guidance of the needle without twisting and tilting is very difficult or impossible with conventional needle holders. Frequent repositioning of the needle with conventional needle holders is very time consuming, technically demanding and can unnecessarily traumatize tissue. A new needle holder was developed by Dr. FEHLAND in cooperation with KARL STORZ for the following applications: All suturing procedures particularly when the needle needs to be guided parallel to the needle holder sheath. For the creation of endolaryngeal swing flaps, arytenoidectomies, etc. For surgical elevation of the middle vocal register with displacement of the frontal vocal cord commissure (glottal graft). For vascular purse-string ligature in narrow lumen and hard-to-reach tissue areas. P. FEHLAND, M. D., Universitätsklinikum Benjamin Franklin, Abteilung für Phoniatrie, Berlin, Germany Special Features: Available in 2 designs with 90 lateral jaw angle to right or left, providing a uniquely wide useable angle of over 180 Specially cross-corrugated jaw surfaces and a locking handle with a ratchet mechanism ensure stable grasping and needle handling without twisting or turning Suitable for both straight and curved needles of varying lengths and curvatures, regardless of grasping angle Slim and yet very stable sheath, matt finish for low reflection Improved view of the operation field with the needle guide parallel to the sheath, e.g. subglottal-glottal and vice versa Easy and safe use with less maneuvering and minimized tissue trauma Small size with delicate jaws recommended for phonosurgery, working length 20 cm 8659 A/B 8659 A FEHLAND Needle Holder, for endolaryngeal microsurgery, with ratchet, sheath outer diameter 4 mm, jaws size 3 x 5.8 mm, angled 90 to the right, with cleaning connector, working length 23 cm 8659 B Same, angled 90 to the left 8659 C FEHLAND Needle Holder, small model, for phonosurgery and endolaryngeal microsurgery, with ratchet, sheath diameter 3 mm, jaws size 2 x 4 mm, angled 90 to the right, with cleaning connector, working length 20 cm 8659 D Same, angled 90 to the left The first stitch is completed; preparation of the second stitch The second stitch is also completed Preparation of the third stitch 578 LA 46 D

83 FEHLAND-NAWKA and KLEINSASSER Needle Holder for Endolaryngeal Microsurgery 23 cm 8659 FL 8659 FL FEHLAND-NAWKA Needle Holder, with crosswise recess for holding the butterfly needle, for indirect injection into the larynx, with ratchet, angled 90 to the left, with cleaning connector, working length 23 cm 8659 FR Same, angled 90 to the right 23 cm 8660 N 8660 N KLEINSASSER Needle Holder, delicate, straight, serrated jaws, size 1.8 x 3.5 mm, sheath conically reinforced from distal to proximal end, with ratchet, with cleaning connector, working length 23 cm LA 47 D 579

84 Distending Forceps, LASER Application Instrument for Endolaryngeal Microsurgery LINDHOLM Distending Forceps In many instances, retraction of the false vocal cords, the true vocal cords or other soft tissue is temporarily needed during an endoscopic procedure. For LASER surgery of limited vocal cord carcinoma it is, for instance, very convenient to be able to visualize more of the upper surface of the vocal cords by retraction of the false vocal cords. Similar retraction of the true vocal cords gives better access to subglottic pathology. For endoscopic surgery the key problem is often the difficulty of obtaining access to the target. These retractors are a valuable addition to the wide range of new endoscopic instruments which enables further versatility of endoscopic procedures. C.-E. LINDHOLM, M. D., Uppsala, Sweden 24 cm 8654 B 8654 B LINDHOLM Forceps, for atraumatic retraction of true vocal cords and false vocal cords, distal end with blunt curved blades, selfretaining, with ratchet and cleaning connector, working length 24 cm LA 48 D

85 WOO/SHAPSHAY/OSSOFF Microsurgical Instruments for Phonosurgery Special Features Universal handle is fully adjustable, providing various working lengths Slender construction allows direct view without glare Instruments can be rotated 360 in the universal handle 8656 A 8656 A Sickle Knife, curved, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 B Same, straight cutting 8656 C Round Knife, vertical cutting, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 D Lancet Knife, straight, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 E Needle, straight, sharp, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 F Hook 90, 1 mm, sharp, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 G Same, 2 mm 8656 J Dissector, straight, ball end, delicate, 3 to 0.6 mm tapered shaft, diameter 1.3 mm, total length 23 cm LA 49 D 581

86 WOO/SHAPSHAY/OSSOFF Microsurgical Instruments for Phonosurgery 8656 L Elevator, slightly curved, blunt, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 LS Same, sharp tipm 8656 N Same, angled R Curette, oval spoon, straight, delicate, 3 to 1 mm tapered shaft, total length 23 cm 8656 S Same, angled H Universal Handle, forceps shape, with 2 handle rings, length 9 cm, for use with 3 mm instruments for phonosurgery and endolaryngeal microsurgery 8595 A 8596 T, 8655 A K and 8656 A S 8657 H 8656 VL 8656 VL Suction Elevator, angular, with grip plate and cut-off hole, LUER, distal end curved to left, delicate, tapered sheath, working length 21 cm, total length 23 cm 8656 VR Same, distal end curved to right LA 50 D

87 Original KLEINSASSER lnstruments for Endolaryngeal Microsurgery KLEINSASSER Instruments, working length 23 cm, for use with Handle A A Knife, oval, straight 8595 B Same, angled 45º 8595 C Same, sickle-shaped, curved, pointed 8595 D Same, straight cut, pointed 8595 E Same, golf club-shaped, curved, round 8595 F Same, round, cuts vertically 8596 A Hook, blunt, with probe end 8596 B Hook, sharp 8596 C Hook, blunt, angled 90º, with probe end, length 5 mm 8596 E Needle, curved to right, working length 23 cm 8596 F Same, curved to left 8596 H Suction Elevator, working length 23 cm 8596 T Knot Tier 8597 KLEINSASSER Handle, for use with 8595 A 8596 T, 8655 A K, 8693 A/B 8596 W W Cotton Applicator, straight, working length 25 cm 8596 WJ Cotton Applicator, for endolaryngeal microsurgery, straight, working length 21 cm 8596 WK Same, working length 18 cm LA 51 D 583

88 Original KLEINSASSER lnstruments for Endolaryngeal Microsurgery Working length 23 cm 8598 A 8598 B E 8602 KV 8603 KV 8598 A KLEINSASSER Injection Needle, LUER-Lock, curved, working length 23 cm 8598 B Same, straight 8602 KLEINSASSER Suction Tube, outer diameter 2 mm, working length 23 cm 8603 Same, outer diameter 2.5 mm 8604 Same, outer diameter 3 mm 8604 E KLEINSASSER Suction Tube, outer diameter 4 mm, working length 23 cm For use with KANTOR-BERCI Video-Laryngoscopes 8602 KV KLEINSASSER Suction Tube, ball end, curved upwards, outer diameter 2 mm, working length 23 cm 8603 KV Same, outer diameter 3 mm LA 52 D

89 Instruments for Endolaryngeal Microsurgery Working length 23 cm 8598 D 8598 D PERETTI Injection Needle, distal end 45 curved upwards, LUER-Lock, working length 23 cm Working length 26 cm 8605 N/P unipolar 8605 N KLEINSASSER Insulated Cannula, for suction and coagulation, outer diameter 3 mm, working length 26 cm, for use with unipolar High Frequency Cords M or M/26004 M/26006 M 8605 P Same, outer diameter 5 mm bipolar Bipolar Coagulation Electrode, straight, with suction channel, for laryngoscopy, working length 26 cm, for use with Bipolar High Frequency Cords LE or L LV 8575 QS Teeth Protector, silicone, autoclavable, can also be used as inlay in metal teeth protector 8575 QS RA Teeth Protector, metal, large 8575 RB Same, medium 8575 RC Same, small 8575 RD Same, extra small 8575 RA RD LA 53 D 585

90 Additional Instruments for Endolaryngeal Microsurgery 8655 A A Elevator, slightly curved, working length 23 cm, for use with Handle C Same, 90 curved 8655 K Knife, lancet-shaped, straight, working length 23 cm, for use with Handle KLEINSASSER Handle, for use with 8595 A 8596 T, 8655 A K, 8693 A/B 8596 D 8596 D Laryngeal Probe, GREAT ORMOND STREET HOSPITAL model, straight, sheath angled, round handle, working length 23 cm LA 54 D

91 KLEINSASSER LASER Additional Instruments modified by SHAPSHAY/HEALY for Laryngoscopy during Micro Spot LASER Treatment Working length 20 cm Special Features: Extra fine sheath gradually reinforced from distal to proximal end 8691 A 8691 A Suction Tube, handle with cut-off hole, tip with central opening, outer diameter 1 mm, working length 20 cm 8691 B Same, outer diameter 1.5 mm 8691 C Same, outer diameter 2 mm 8692 A 8692 A Suction Tube, handle with cut-off hole, tip closed, with 2 lateral openings, outer diameter 1 mm, working length 20 cm 8692 B Same, outer diameter 1.5 mm 8692 C Same, outer diameter 2 mmn 8693 A 8693 B 8693 A Probe, straight, diameter 1 mm, working length 20 cm 8693 B Same, angled KLEINSASSER Handle, for use with 8595 A 8596 T, 8655 A K, 8693 A/B LA 55 C 587

92 PERETTI High Pressure Syringe for Fat Injection PIAFI = Primary intracordal autologous fat injection following endoscopic chordectomy for glottal laryngeal carcinoma. Chordectomy is the standard treatment for vocal cord carcinoma. For voice restoration, it is necessary to reconstruct the vocal cords either with synthetic or autologous material. In the case of the PIAFI technique, fat is injected with the PERETTI-BOLZONI instrument. The syringe for fat harvesting lies in the instrument as in a groove. Injection is performed by means of a cogwheel mechanism which releases 0.5 ml fat with each cogwheel click. Operative procedure: In the case of the Peretti technique, the surgeon removes subcutaneous abdominal fat. Autologous fat is used for the vocal cords after a few minutes. Benefits of autologous fat injection: No risk of rejection No allergic reactions Hardly any costs Only one operation PERETTI High Pressure Syringe, for fat injection including: High Pressure Handle, for use with Syringe Holder Syringe Holder, for Plastic Syringe , for use with High Pressure Handle Pusher, for use with High Pressure Handle with Plastic Syringe Plastic Syringe, spring-action, self-retaining, 10 ml, sterile, for single use, package of 25 Injection Cannula, angular, LUER-Lock, tip outer diameter 1.3 mm, inner diameter 0.8 mm, working length 20 cm, package of Components/Spare Parts see chapter LA 56 C

93 High Pressure Syringe for Viscous Fluid Injection, for Larynx S/SK/SL/SM T High Pressure Syringe, for viscous fluid injection including: High Pressure Handle, for use with Syringe Holder Q Adaptor, for injection of viscous fluid, for filling plastic syringe, package of 3 Plastic Syringe, 1 ml, for single use, package of 100 Syringe Holder, for plastic syringe, package of 3 Injection Cannula, LUER-Lock, outer diameter of syringe 1.3 mm, inner diameter 0.8 mm, working length 23 cm, package of SK Injection Cannula, short tip, for single use, LUER-Lock, tip outer diameter 1 mm, inner diameter 0.7 mm, working length 18 cm, package of SL Injection Cannula, for single use, LUER-Lock, tip outer diameter 1.3 mm, inner diameter 1.1 mm, working length 18 cm, package of SM Same, working length 15 cm, package of T JOUSSEN Larynx Cannula, curved, for single use, LUER-Lock, outer diameter of tip 0.6 mm, for collagen application, for use with High Pressure Syringe or Syringe , package of Please note: Collages are injected cool. If the material becomes warm it becomes rigid and can not be made liquid again by recooling. Components/Spare Parts see chapter 16 LA 57 C 589

94 Bipolar Forceps Special Features: Bipolar coagulation Insulated except for small coagulation area on the instrument tip Single action jaws Distance between cautery poles may be varied, enabling punctual and extensive coagulation With and without suction Special design of the movable jaw provides direct endoscopic/microscopic vision at the point of coagulation Slim design enables good availability of previously hard to reach regions for cauterization bipolar Cleaning connector Unobtrusive suction adaptor as it is positioned between the ergonomic handles Lateral ventilation holes for individual regulation of suction power Rigid lower jaw Movable, slender jaw provides direct endoscopic/microscopic vision at the point of coagulation HF connectors Suction tube LA 58 D

95 Bipolar Forceps bipolar 8615 A 8615 A Bipolar Forceps, jaws 45 upturned, for bipolar coagulation in larynx, working length 23 cm, for use with Bipolar High Frequency Cords E or A/M/V/U 8615 AS 8615 AS Bipolar Suction Forceps, jaws 45 upturned, with suction channel, for bipolar coagulation in larynx, working length 23 cm, for use with Bipolar High Frequency Cords E or A/M/V/U 1-08 Bipolar High Frequency Cords see chapter 8, page 432 LA 59 D 591

96 Accessories for High Frequency Surgical Units Working length 23 cm 8888 C 8888 A Coagulation Ball Electrode, straight, diameter 1 mm 8888 B Coagulation Ball Electrode, straight, diameter 2 mm 8888 C Cutting Electrode, straight, diameter 0.45 mm 8603 A 8604 A Additional Accessories: Suction tubes are protected against contact with high frequency electrodes by insulation 8603 A Insulated Suction Tube, outer diameter 2.5 mm, working length 23 cm 8604 A Same, outer diameter 3 mm Electrode Handle and see chapter 8, page 428 Unipolar and bipolar high frequency cords see chapter 8, page LA 60 D

97 Full Lumen Operating Tracheoscope P BN BM S K Special Features: Absence of distal light carrier does not restrict inner diameter Prismatic light deflector which is inserted proximally ensures best illumination and enables full use of lumen through operation instruments Excellent view of operation area Round inner diameter enables bronchial bougies from 30 to 37 Fr. to be introduced Suitable for the appiication of bronchial stents FA D HL G Full Lumen Operating Tracheoscope, size 14 mm, length 33 cm FA Prismatic Light Deflector, autoclavable, with connection to fiber optic light cable BM Glass Window Plug BN Rubber Telescope Guide P FLUVOG Adaptor, with observation window, cap with rubber seal and with window, adjustable K Injection Cannula, for positive pressure assisted ventilation system, LUER-Lock, outer diameter 3.5 mm S Instrument Guide, for suction catheter D Adaptor, for respirator HL Forceps, alligator, for hard foreign bodies, double action jaws, sheath diameter 2 mm, working length 45 cm KL Forceps, for peanuts and soft foreign bodies, double action jaws, sheath diameter 2 mm, working length 45 cm G KL HL/KL Polyflex self-expanding silicon stents with polyester netting for maintaining air passage patency in cases of central airway stenosis and for bridging tracheooesphageal fistulus can be obtained from: Willy Rüsch AG, P. O. Box 1180, D Kernen, Germany For more forceps please see chapter 11-12, ESOPHAGOSCOPY BRONCHOSCOPY LA 61 C 593

98 Dilation Tracheoscopes GRONINGEN Model Some tracheal stenoses can be treated endoscopically. An intubation laryngoscope, a dilation tracheoscope, telescope and suction tubes are required for this procedure. The tracheoscope is available with a diameter of 8 mm or 12 mm. The size of the instrument is determined by the size of the larynx and the healthy portion of the trachea. There are numerous tiny openings in the distal end of the instrument which enable air to come through the middle of the stenosis. The proximal end of the instrument is designed in such a way that customary ventilation tubes and a telescope (30 cm) can be connected. The intervention is carried out under general anesthesia. Following the administration of the anesthesia and with ventilation taking place via the anesthesia mask, the dilation tracheoscope is introduced under endoscopic control. The stenosis is visible through the vocal cords. The design of the tip which can be advanced forward through the stenosis ensures that the ventilation is maintained during this process. The conical construction of the tip enables the instrument to be advanced carefully up to the wider section of the tracheoscope, whereby the tracheoscope remains in place 5-10 minutes. The intervention is then completed. Fig. 1 corresponds to the view through the telescope and shows the proximal part of the tracheal stenosis. The vocal cords are at the front of the picture. In Fig. 2 the stenosis can be seen in detail. Fig. 3 shows the stenosis following the dilation; Fig. 4 the healthy, distal trachea. The constellation of instruments is suitable for treating most medium-sized stenoses (Myer-Corton 2nd degree). The intervention can be repeated after 6-24 months without difficulty. F. G. DIKKERS, M.D., Groningen, The Netherlands Fig. 1 Fig Fig. 3 Fig LA 62 C

99 Dilation Tracheoscopes GRONINGEN Model FA P LR R Optical Dilation Tracheoscope, GRONINGEN model, rigid, with distance markings, for dilation for stenosis and tumors in the upper trachea, distal tapered with lateral ventilation holes, proximal with attachment for oxygen, outer diameter 12 mm, length 30 cm, for use with HOPKINS II Telescopes AA and BA, Prismatic Light Deflector FA, Adaptor for Respirator LR and adjustable FLUVOG attachment, with window and Rubber Seal P S Same, outer diameter 8 mm T Optical Intubation Tracheoscope, GRONINGEN model including: Sheath, for insertion of endotracheal tubes under optical control, proximal with LUER-Lock and distal with lateral holes for anesthetic gases, outer diameter 5.5 mm, length 30 cm, for use with HOPKINS II Telescopes AA and BA Distance Ring, with fixation screw for length adjustment of the endotracheal tubes AA HOPKINS II Straight Forward Telescope 0, enlarged view, diameter 4 mm, length 30 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINSr II Forward-Oblique Telescope 30, enlarged view, diameter 4 mm, length 30 cm, autoclavable, fiber optic light transmission incorporated, color code: red R/S T AA BA P FLUVOG Adaptor, with observation window, cap with rubber seal and with window, adjustable LR Adaptor, for respirator FA Prismatic Light Deflector, autoclavable, with connection to fiber optic light cable Components/Spare Parts see chapter 16 LA 63 B 595

100

101 Request per Business Reply Card or per FAX +49 (0) or one of KARL STORZ distribution companies checkmark provide address on back of card send Please tear off postcard here! Catalogs, Catalog excerpts I prefer: Print Version Digital Version (CD, DVD) (please check) Neuro-Endoscopy Oral and Maxillofacial Surgery ENT Esophagoscopy Bronchoscopy - Standard Instruments - Laryngology - Otology - Rhinology and Rhinoplasty - Sinoscopy, Rhinoscopy, Postrhinoscopy Plastic Surgery Anesthesiology and Emergency Medicine - Video Intubation Systems Endoscopes and Instruments for Cardiovascular Surgery Thorax Gastroenterology Laparoscopy in Surgery, Gynecology, Urology - Pediatric Laparoscopy - Minilaparoscopy Gynecology - Fetoscopy Urology Proctology Arthroscopy, Sports Medicine, Spine Surgery - RECON Bone and Joint Reconstruction Microscopy Pediatric Surgery KARL STORZ OR1 NEO Telepresence Hygiene Please tear off postcard here! Address: Postage paid Hospital/Office Contact Street Postal Code REPLY Town/City Tel. KARL STORZ SE & Co. KG Postfach Tuttlingen/Germany

102 Request per Business Reply Card or per FAX +49 (0) or one of KARL STORZ distribution companies checkmark provide address on back of card send Please tear off postcard here! Address: Postage paid Hospital/Office Contact Street Postal Code REPLY Town/City Tel. KARL STORZ SE & Co. KG Postfach Tuttlingen/Germany Please tear off postcard here! Catalogs, Catalog excerpts I prefer: Print Version Digital Version (CD, DVD) (please check) Neuro-Endoscopy Oral and Maxillofacial Surgery ENT Esophagoscopy Bronchoscopy - Standard Instruments - Laryngology - Otology - Rhinology and Rhinoplasty - Sinoscopy, Rhinoscopy, Postrhinoscopy Plastic Surgery Anesthesiology and Emergency Medicine - Video Intubation Systems Endoscopes and Instruments for Cardiovascular Surgery Thorax Gastroenterology Laparoscopy in Surgery, Gynecology, Urology - Pediatric Laparoscopy - Minilaparoscopy Gynecology - Fetoscopy Urology Proctology Arthroscopy, Sports Medicine, Spine Surgery - RECON Bone and Joint Reconstruction Microscopy Pediatric Surgery KARL STORZ OR1 NEO Telepresence Hygiene

103 Important Notes: Endoscopes and accessories contained in this catalog have been designed in part with the cooperation of physicians and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture individual components, these are made according to proprietary KARL STORZ plans or drawings. Furthermore, these products are subject to strict quality and control guidelines of the KARL STORZ group. Both contractual and general legal provisions prohibit subcontractors from supplying components manufactured by order of KARL STORZ to competitors. Any assumptions that competitors endoscopes and accessories are acquired from the same suppliers as the KARL STORZ products are not correct. Moreover, endoscopes and instruments provided by competitors are not manufactured according to the design specifications of KARL STORZ. This means it cannot be assumed that these endoscopes and accessories even if they look identical on the outside are constructed in the same manner and have been tested according to the same criteria. Standardized Design and Labeling KARL STORZ participates both in national and international bodies involved in the development of standards for endoscopes and endoscopic accessories. Standardized design and development therefore have long been implemented consistently by KARL STORZ. The user can rest assured that all products by the KARL STORZ group have been designed and constructed not only in compliance with strict internal quality guidelines, but also with international standards. All data relevant for safe use, such as viewing direction, sizes and diameters, or notes regarding sterilization of telescopes, are applied to the instruments, have been formulated according to international standards, and therefore provide reliable information. As we constantly seek to improve and modify our products, we reserve the right to make changes in design that vary from catalog descriptions. Original or Counterfeit KARL STORZ products are name brand articles renowned around the world and represent the state of the art in important areas of healthcare. A large number of copy cat products are currently being offered in many markets. These products are designed intentionally to resemble KARL STORZ products and use marketing strategies that at least point out their compatibility with KARL STORZ products. These products are by no means genuine products, since genuine KARL STORZ products are sold worldwide exclusively under the name of KARL STORZ, which appears on the packaging and the product. In the absence of such labeling, the product is not from KARL STORZ. KARL STORZ, therefore, is unable to ensure that such products are actually compatible with genuine KARL STORZ products or can be used with them without injury to the patient.